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1.
Eye (Lond) ; 2020 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-32157182

RESUMO

OBJECTIVES: To investigate the effect of corneal stromal pocket irrigation after small-incision lenticule extraction (SMILE) on visual acuity, intraocular pressure (IOP), corneal parameters and complications after surgery. METHODS: A total of 242 eyes of 121 patients undergoing SMILE were enrolled in this prospective controlled study, and it was designed for one eye to randomly undergo SMILE with balanced salt solution irrigation of the corneal stromal pocket, while the other eye was not. The uncorrected distance visual acuity (UDVA) and slit lamp examination were recorded at 1 hour, 1 day, 1 week, and 1 month. Postoperative corneal density, corneal biomechanical, corneal endothelial cell number, and anterior OCT images were compared at 1 day, 1 week, and 1 month. RESULTS: Compared with the nonirrigation group, the irrigation group showed significantly higher UDVA at 1 day postoperatively (P < 0.05), but there was no significant difference during the rest of the postoperative period (1 hour, 1 week, and 1 month). In addition, no significant differences were found in IOP, corneal density, corneal biomechanics, corneal endothelial cells, and corneal morphology. No visual decline or severe postoperative complications were found in the patients in this study. CONCLUSIONS: Interlamellar irrigation did not affect IOP, corneal parameters, morphology, complications, or UDVA at 1 hour, 1 week, and 1 month after the operation, but it may promote UDVA 1 day after the operation.

2.
Aging (Albany NY) ; 12(5): 4247-4267, 2020 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-32112644

RESUMO

Hypoxia-related microRNAs (miRNAs) are involved in the pathogenesis of various diseases. Because potential variations in miRNA expression mediated by hypoxic lung injury at high altitude remain incompletely characterized, we used a rat model to investigate the biochemical and miRNA changes induced by high-altitude hypoxia. After 24, 48, or 72 h of hypoxic exposure, expression of VEGF/Notch pathway-related proteins were increased in rat lung tissues. Microarray screening of hypoxic lung samples revealed 57 differentially expressed miRNAs, 19 of which were related to the VEGF/Notch signaling pathway. We verified that the top downregulated miRNA (miR-203a-3p) suppresses VEGF-A translation through direct binding and also indirectly reduces Notch1, VEGFR2, and Hes1 levels, which restricts the angiogenic capacity of pulmonary microvascular endothelial cells in vitro. These findings may aid in the development of new therapeutic strategies for the prevention and treatment of hypoxic lung injury at high altitude.

3.
Br J Cancer ; 2020 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-32203224

RESUMO

BACKGROUND: DAXX is a transcription repressor that has been implicated in several types of cancers, but its role in the development of gastric cancer remains unknown. METHODS: We analysed the expression of DAXX in 83 pairs of gastric cancer samples, including neoplastic and adjacent tissues, and correlated the expression levels with clinical stages. We also investigated the molecular mechanisms by which DAXX downregulation promotes cancer growth using both in vitro and in vivo models. RESULTS: DAXX was downregulated in advanced gastric cancer samples. The expression of DAXX inversely correlates with that of cancer stem cell markers CD44 and Oct4 in gastric cancer lines. DAXX overexpression in gastric cancer cells inhibited migration, invasion and epithelial- mesenchymal transition (EMT). The inhibition of EMT was achieved through the repression of SNAI3, a key inducer of EMT, by recruiting HDAC-1 into the nucleus. Using a xenograft mouse model, we demonstrated that the MKN45 cells formed smaller tumours when DAXX was overexpressed. Wild-type AGS cells were not able to form tumours in nude mice, but in contrast, formed visible tumours when DAXX was silenced in the cells. CONCLUSION: We for the first time demonstrated that DAXX functions as a tumour suppressor in gastric cancer by inhibiting stem cell growth and EMT.

4.
Environ Technol ; : 1-9, 2020 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-32065052

RESUMO

Although celery has been established as an effective plant in the remediation of organic pollutant-contaminated soil, few studies have investigated the associated biological processes in rhizosphere and the effect of celery on agricultural field remediation in situ. In this study, a polycyclic aromatic hydrocarbon (PAH)-contaminated agricultural greenhouse was used as the experimental site, and three celery species (Apium graveolens L., Oenanthe javanica (Blume) DC., Libanotis seseloides (Fisch. & C.A. Mey. ex Turcz.) Turcz.) were applied for in situ remediation. After 90 days, the PAH dissipation rate of the L. seseloides treatment was highest (50.21%), and most of the PAHs were limited to its roots (translocation factor 0.516). This suggested that L. seseloides is a potential species for phytoremediation coupled with agro-production. The culturable microbial population and invertase activity results strongly supported that O. javanica is suitable for the establishment of exogenous bacteria-celery co-remediation techniques. Pearson's correlation analysis showed that the polyphenol oxidase (PPO) activity was highly significantly positively correlated with the PAH dissipation rate (r = 0.984, P < 0.01), and we suggest that PPO can be used as a microecological index during PAH remediation.

5.
Brief Bioinform ; 2020 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-32065211

RESUMO

The locations of the initiation of genomic DNA replication are defined as origins of replication sites (ORIs), which regulate the onset of DNA replication and play significant roles in the DNA replication process. The study of ORIs is essential for understanding the cell-division cycle and gene expression regulation. Accurate identification of ORIs will provide important clues for DNA replication research and drug development by developing computational methods. In this paper, the first integrated predictor named iORI-Euk was built to identify ORIs in multiple eukaryotes and multiple cell types. In the predictor, seven eukaryotic (Homo sapiens, Mus musculus, Drosophila melanogaster, Arabidopsis thaliana, Pichia pastoris, Schizosaccharomyces pombe and Kluyveromyces lactis) ORI data was collected from public database to construct benchmark datasets. Subsequently, three feature extraction strategies which are k-mer, binary encoding and combination of k-mer and binary were used to formulate DNA sequence samples. We also compared the different classification algorithms' performance. As a result, the best results were obtained by using support vector machine in 5-fold cross-validation test and independent dataset test. Based on the optimal model, an online web server called iORI-Euk (http://lin-group.cn/server/iORI-Euk/) was established for the novel ORI identification.

6.
Int Immunopharmacol ; 81: 106265, 2020 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-32044661

RESUMO

BACKGROUND: Acute kidney injury (AKI) is the main complication of crush syndrome (CS), and it is also a cause of lethality in CS. However, effective treatments for AKI are still lacking. Ulinastatin (UTI) is a broad-spectrum serine protease inhibitor extracted from human urine that reportedly modulates innate immunity and pro-inflammatory responses in sepsis. Here, we explored the effect and the potential mechanism of ulinastatin on crush syndrome-induced acute kidney injury (CSAKI). METHODS: A CSAKI rat model was established by using a digital crush injury device platform. Forty-six male Wistar rats were randomly divided into five groups: the normal control (n = 6), CSAKI model (n = 10), CSAKI plus UTI1 (50,000 U/kg) (n = 10), CSAKI plus UTI2 (100,000 U/kg) (n = 10) and CSAKI plus UTI3 (200,000 U/kg) (n = 10) groups. Hematoxylin-eosin (HE) staining was used to investigate the reliability of the CSAKI model. The percentage of Th17/Treg lymphocytes in peripheral blood was measured by flow cytometry, and the expression of transcription factors associated with Th17/Treg cells was evaluated by quantitative real-time polymerase chain reaction (PCR). In addition, specific cytokines released by Th17/Treg cells in serum and kidney tissues were detected by enzyme-linked immunosorbent assay (ELISA). RESULTS: Treatment with ulinastatin could significantly decrease serum BUN, CK, Scr, Mb and K+ levels compared with CSAKI group. HE staining results showed that ulinastatin could inhibit inflammatory cells infiltration, decrease sarcomere rupture in muscle tissues induced by extrusion, and alleviate the glomerular congestion and edema, as well as decrease myoglobin cast in kidney tissues. The proportion of CD4+CD25+Foxp3+ regulatory T (Treg) cells and Foxp3 expression levels were decreased in the CSAKI animals, while IL-17 expression levels were significantly increased, compared with those of the normal control group. Treatment with ulinastatin upregulated the proportion of Treg cells in CD4+ T cells and downregulated the expression of IL-17 compared with those of the CSAKI group. CONCLUSION: The findings of our study indicate that UTI attenuates CS-induced AKI and alleviate the inflammatory response during the early stage. The mechanism of UTI may be due to regulating the balance between Th17/Treg cells. Our study provides a new mechanism for the beneficial effect of ulinastatin on CSAKI.

7.
Biochem Biophys Res Commun ; 524(4): 963-969, 2020 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-32059851

RESUMO

Neutrophil gelatinase-associated lipocalin (NGAL) may be a biomarker candidate for brain injury and a novel therapeutic target in ischemic stroke. Epidermal growth factor (EGF) has protective effects on ischemic injury via activating EGF receptor (EGFR). Whether the protection mechanism of activating EGF-EGFR axis against brain injury is involved in regulating NGAL is still unknown. In the present study, we attempted to explore the expression of NGAL in ischemic brain and the effects of EGF on the NGAL expression in a mouse model of middle cerebral artery occlusion (MCAO). Results suggested that the NGAL expression in ischemic brain was markedly increased after cerebral ischemic damage, and specific NGAL-siRNA can attenuate ischemia-triggered infarct volume and neurological deficit. Then, we found that intracerebroventricular EGF treatment may reduce the level of NGAL in ischemic brain, accompanied by functional improvements. Meanwhile, specific JAK2/STAT3 inhibitor AG490 can reverse EGF-induced reduction of NGAL level. Therefore, the elevated NGAL level in ischemic brain may be an important participant in ischemic brain injury. EGF/EGFR activation ameliorated infarct volume of brain tissues and neurological deficit, and the underlying mechanism is involved in regulating the expression of NGAL via the activation of JAK2/STAT3 pathway.

8.
Comput Biol Med ; 119: 103660, 2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32090901

RESUMO

Exploring the protein - drug correlation can not only solve the problem of selecting candidate compounds but also solve related problems such as drug redirection and finding potential drug targets. Therefore, many researchers have proposed different machine learning methods for prediction of protein-drug correlations. However, many existing models simply divide the protein-drug relationship into related or irrelevant categories and do not deeply explore the most relevant target (or drug) for a given drug (or target). In order to solve this problem, this paper applies the ranking concept to the prediction of the GPCR (G Protein-Coupled Receptors)-drug correlation. This study uses two different types of data sets to explore candidate compound and potential target problems, and both sets achieved good results. In addition, this study also found that the family to which a protein belongs is not an inherent factor that affects the ranking of GPCR-drug correlations; however, if the drug affects other family members of the protein, then the protein is likely to be a potential target of the drug. This study showed that the learning to rank algorithm is a good tool for exploring protein-drug correlations.

10.
Surg Endosc ; 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32016520

RESUMO

BACKGROUND: Laparoscopic splenectomy (LS) has been proven to be a safe and advantageous procedure. To ensure that resections of appropriate difficulty are selected, an objective preoperative grading of difficulty is required. We aimed to develop a predictive difficulty grading of LS based on intraoperative complications. METHODS: A total of 272 non-traumatic patients who underwent LS were identified from a regional medical center. Patients were randomized into a training cohort (n = 222) and a validation cohort (n = 50). Data on demographics, medical and surgical history, operative and pathological characteristics, and postoperative outcome details were collected. Univariate and multivariate analyses of risk factors for intraoperative complications were performed to develop a difficulty scoring system. The Spearman correlation coefficient was used to evaluate the relationship between the difficulty grading score and intraoperative outcomes. Receiver operating characteristic (ROC) curve was used to evaluate the discriminatory power of this scoring system. RESULTS: Three preoperative factors (spleen weight, esophagogastric varices, and INR) had a significant effect on operative time, bleeding, and conversion to open surgery. We created a difficulty grading score with three levels of difficulty: low (≤ 4 points), medium (5-6 points), and high (≥ 7 points), based on the three preoperative parameters. The correlation was highly significant (P < 0.01) according to Spearman's correlation. The area under the ROC curve was 0.695 (95% CI 0.630-0.755). The external validation showed significant correlations with the present model, with an AUC of 0.725 (95% CI 0.580-0.842). The comparison between our difficulty score and the previous grading system in the 272-patient cohort presented a significant difference in the AUC (0.701, 95% CI 0.643-0.755 vs. 0.644, 95% CI 0.584-0.701, P = 0.0452). CONCLUSION: The present difficulty scoring system, based on preoperative factors, has good performance in predicting the risk of intraoperative complications of LS and could be helpful for enabling appropriate case selection with respect to the current experience of a surgeon.

11.
J Colloid Interface Sci ; 566: 296-303, 2020 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-32007740

RESUMO

Metal selenides as highly efficient bifunctional electrocatalysts were extensively applied to water-splitting technology. In present work, N-doped graphitized carbon wrapped CoSe2 nanoparticles (NPs) with in-situ grown bamboo-like carbon nanotube (CoSe2@N/C-CNT) was successfully synthesized via a Co-Ade (Adenine) MOF-derived selenylation strategy. Each CNT was capped with CoSe2 NP, which not only effectively avoided self-agglomeration of CoSe2 NPs but also protected the CoSe2 NPs from electrolyte etching. The synergism of bamboo-like CNT with high conductivity and the uniformly distributed CoSe2 NPs endowed CoSe2@N/C-CNT the better bifunctional electrocatalytic activities toward both HER (hydrogen evolution reaction) and OER (oxygen evolution reaction). To generate a current density of 10 mA cm-2, CoSe2@N/C-CNT exerted as low as overpotential (η) of 185 mV vs. RHE (reversible hydrogen electrode) and 340 mV vs. RHE for HER and OER, the corresponding Tafel slopes were 98 and 107 mV dec-1 respectively. In addition, CoSe2@N/C-CNT exhibited superior durability with negligible attenuation after long-term stability test.

13.
Brief Bioinform ; 2020 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-31994694

RESUMO

Messenger RNAs (mRNAs) shoulder special responsibilities that transmit genetic code from DNA to discrete locations in the cytoplasm. The locating process of mRNA might provide spatial and temporal regulation of mRNA and protein functions. The situ hybridization and quantitative transcriptomics analysis could provide detail information about mRNA subcellular localization; however, they are time consuming and expensive. It is highly desired to develop computational tools for timely and effectively predicting mRNA subcellular location. In this work, by using binomial distribution and one-way analysis of variance, the optimal nonamer composition was obtained to represent mRNA sequences. Subsequently, a predictor based on support vector machine was developed to identify the mRNA subcellular localization. In 5-fold cross-validation, results showed that the accuracy is 90.12% for Homo sapiens (H. sapiens). The predictor may provide a reference for the study of mRNA localization mechanisms and mRNA translocation strategies. An online web server was established based on our models, which is available at http://lin-group.cn/server/iLoc-mRNA/.

14.
Artigo em Inglês | MEDLINE | ID: mdl-31957607

RESUMO

The chloroplast is a type of subcellular organelle of green plants and eukaryotic algae, which plays an important role in the photosynthesis process. Since the function of a protein correlates with its location, knowing its subchloroplast localization is helpful for elucidating its functions. However, due to the large number of chloroplast proteins, it is costly and time-consuming to design biological experiments to recognize subchloroplast localizations of these proteins. To address this problem, during the past ten years, twelve computational prediction methods have been developed to predict protein subchloroplast localization. This review summarizes the research progress in this area. We hope the review could provide important guide for further computational study on protein subchloroplast localization.

15.
Ying Yong Sheng Tai Xue Bao ; 31(1): 309-318, 2020 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-31957409

RESUMO

Procambarus clarkii was introduced into China as an important aquatic product in early 20th century. It has characteristics of high fertility, rapid growth, adaptability and digging burrows, which could cause damage of crops, cropland and facilities, decrease local biodiversity and thus threaten local ecosystem. Thus, predicting the potential distribution of P. clarkii in response to climate change was essential for preventing and monitoring this species. Based on the distribution of P. clarkii, the maximum entropy (MaxEnt) and genetic algorithm for rule-set production (GARP) models were used to predict its distribution in China under current climate and four climate scenarios (RCP 2.6, RCP 4.5, RCP 6.0, RCP 8.5) in two periods, 2041-2060 and 2061-2080. Then, the modeling results were tested by ROC curves. The results showed that under current climate, the highly suitable region for distribution predicted by the MaxEnt and GARP models were Shanghai, Jiangsu, Zhejiang and Anhui along the Yangtze River. The main environmental variables affecting its distribution were mean temperature of the coldest quarter, minimum temperature of the warmest month, and temperature seasonality, maximum temperature of the warmest month, precipitation of the driest month. Under the future climate scenarios, the suitable area of P. clarkii distribution varied in 2061-2080. The total suitable area of P. clarkii would increase under RCP2.6 and RCP 4.5, whereas under RCP 8.5 the suitable area of P. clarkii would increase, and then decrease. In RCP 6.0, there was no change. The suitable areas of P. clarkii would disperse to different latitude areas and migrate toward high altitude.


Assuntos
Ecossistema , Espécies Introduzidas , Animais , Astacoidea , China , Mudança Climática
16.
Environ Sci Technol ; 54(3): 1938-1945, 2020 02 04.
Artigo em Inglês | MEDLINE | ID: mdl-31904227

RESUMO

Normal temperature catalytic ozonation (NTCO) is a promising yet challenging method for the removal of volatile organic compounds (VOCs) because of limited activity of the catalysts at ambient temperature. Here, we report a series of Pt/FeOx catalysts prepared by the co-precipitation method for NTCO of gaseous methanol. All samples were found to be active and among them, the Pt/FeOx-400 (calcined at 400 °C) catalyst with a Pt cluster loading of 0.2% exhibited the highest activity, able to completely convert methanol into CO2 and H2O at 30 °C. Extensive experimental research suggested that the superior catalytic activity could be attributed to the highly dispersed Pt clusters and an appropriate molar ratio of Pt0/Pt2+. Furthermore, electron paramagnetic resonance and density functional theory computational studies revealed the mechanism that the Pt/FeOx-400 catalyst could activate O3 and water effectively to produce hydroxyl radicals responsible for the catalytic oxidation of methanol. The findings of this work may foster the development of technologies for normal temperature abatement of VOCs with low energy consumption.


Assuntos
Metanol , Ozônio , Catálise , Platina , Temperatura Ambiente
17.
Aging (Albany NY) ; 12(2): 1778-1791, 2020 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-31986122

RESUMO

Brain microvascular endothelial cell (BMEC) survival and angiogenesis after ischemic stroke has great significance for improving the prognosis of stroke. Abnormal variants of lncRNAs are closely associated with stroke. In this study, we examined the effects and molecular mechanisms of differentiation antagonizing non-protein coding RNA (DANCR) on apoptosis, migration, and angiogenesis of oxygen-glucose deprivation (OGD)-treated BMECs. We found that DANCR expression significantly increased at 2, 4, 6, 8, and 10 h after OGD. DANCR overexpression promoted cell viability, migration, and angiogenesis in OGD-treated BMECs. Additionally, we found that X-box binding protein l splicing (XBP1s) expression was positively correlated with DANCR expression. DANCR overexpression promoted XBP1s expression in OGD-treated BMECs. Silenced XBP1s reversed the effect of DANCR in OGD-treated BMECs. Furthermore, we found that microRNA (miR)-33a-5p bound to DANCR and the 3'-UTR of XBP1. miR-33a-5p overexpression inhibited proliferation, migration, angiogenesis, and XBP1s expression in OGD-treated DANCR-overexpressing BMECs, reversing the protective effect of DANCR. Finally, we found that XBP1s expression promoted proliferation, migration, and angiogenesis, reversing the damaging effect of miR-33a-5p. In conclusion, DANCR enhanced survival and angiogenesis in OGD-treated BMECs through the miR-33a-5p/XBP1s axis.

18.
Ann Surg ; 2020 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-31972643

RESUMO

OBJECTIVES: To determine the prognostic implication of the number and station of LNM, and the minimal number of LNs needed for evaluation to accurately stage patients with intrahepatic cholangiocarcinoma (ICC). BACKGROUND: Impact of the number and station of LNM on long-term survival, and the minimal number of LNs needed for accurate staging of ICC patients remain poorly defined. METHODS: Data on patients who underwent curative-intent resection for ICC was collected from 15 high-volume centers worldwide. External validation was performed using the SEER registry. Primary outcomes included overall (OS), disease-specific, and recurrence-free survival. RESULTS: Among 603 patients who underwent curative-intent resection, median and 5-year OS were 30.6 months and 30.4%. Patients with 1 or 2 LNM had comparable worse OS versus patients with no nodal disease (median OS, 1 LNM 18.0, 2 LNM 20.0 vs no LNM 45.0 months, both P < 0.001), yet better OS versus patients with 3 or more LNM (median OS, 1-2 LNM 19.8 vs ≥3 LNM 16.0 months, P < 0.01). On multivariable analysis, a proposed new nodal staging with N1 (1-2 LNM) (Ref. N0, HR 2.40, P < 0.001) and N2 (≥3 LNM) [Ref. N0, hazard ratio (HR) 3.85, P < 0.001] categories were independently associated with incrementally worse OS. Patients with no nodal metastasis, 1-2 LNM and ≥3 LNM also had an increasingly worse disease-specific survival, and recurrence-free survival (both P < 0.05). Total number of LNs examined ≥6 had the greatest discriminatory power relative to OS among patients with 1-2 LNM, and patients with ≥3 LNM in both the multi-institutional (area under the curve 0.780) and SEER database (area under the curve 0.820) (n = 1036). Among patients who underwent an adequate regional lymphadenectomy (total number of LNs examined ≥6), LNM beyond the HDL was associated with worse OS versus LNM within the HDL only (median OS, 14.0 vs 24.0 months, HR 2.41, P = 0.003). CONCLUSION: Standard lymphadenectomy of at least 6 LNs is strongly recommended and should include examination beyond station 12 to have the greatest chance of accurate staging. The proposed new nodal staging of N0, N1, and N2 should be considered to stratify outcomes among patients after curative-intent resection of ICC.

19.
World J Gastroenterol ; 26(2): 199-218, 2020 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-31988585

RESUMO

BACKGROUND: Rifaximin has been shown to reduce the incidence of hepatic encephalopathy and other complications in patients with cirrhosis. However, few studies have investigated the effect of rifaximin in cirrhotic patients with refractory ascites. AIM: To evaluate the effects of rifaximin in the treatment of refractory ascites and to preliminarily explore its possible mechanism. METHODS: A total of 75 cirrhotic patients with refractory ascites were enrolled in the study (50 in a rifaximin and 25 in a control group). Patients in the rifaximin group were divided into two subgroups according to the presence of spontaneous bacterial peritonitis and treatment with or without other antibiotics (19 patients treated with rifaximin and 31 patients treated with rifaximin plus intravenous antibiotics). All patients received conventional treatment for refractory ascites, while patients in the rifaximin group received oral rifaximin-α 200 mg four times daily for at least 2 wk. The ascites grade, fasting weight, liver and kidney function, and inflammatory factors in the plasma were evaluated before and after treatment. In addition, the gut microbiota was determined by metagenomics sequencing to analyse the changes in the characteristics of the gut microbiota before and after rifaximin treatment. The patients were followed for 6 mo. RESULTS: Compared with the control group, the fasting weight of patients significantly decreased and the ascites significantly subsided after treatment with rifaximin (P = 0.011 and 0.009, respectively). The 6-mo survival rate of patients in the rifaximin group was significantly higher than that in the control group (P = 0.048). The concentration of interferon-inducible protein 10 decreased significantly in the rifaximin group compared with that in the control group (P = 0.024). The abundance of Roseburia, Haemophilus, and Prevotella was significantly reduced after rifaximin treatment, while the abundance of Lachnospiraceae_noname, Subdoligranulum, and Dorea decreased and the abundance of Coprobacillus increased after treatment with rifaximin plus intravenous antibiotics. The gene expression of virulence factors was significantly reduced after treatment in both subgroups treated with rifaximin or rifaximin plus intravenous antibiotics. CONCLUSION: Rifaximin mitigates ascites and improves survival of cirrhotic patients with refractory ascites. A possible mechanism is that rifaximin regulates the structure and function of intestinal bacteria, thus improving the systemic inflammatory state.

20.
Health Expect ; 23(1): 115-124, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31637800

RESUMO

BACKGROUND: Patient satisfaction has been seen as a key criterion when evaluating hospitals and is one of the main focuses of the current health-care reform in China. This paper aimed to explore patient- and hospital-level factors associated with inpatient satisfaction, which can provide policy implications for the evaluation and development of a patient-oriented health-care system. METHODS: The paper analyses data from the 2017 China National Patient Survey which includes 20 300 inpatients from 131 tertiary hospitals across 31 provinces. Descriptive analysis and multivariable logistic regressions are conducted to identify key factors related to satisfaction. RESULTS: Patient sociodemographic characteristics, including gender, age, income and insurance type, are found to be strongly associated with their satisfaction of inpatient experience. In terms of institutional characteristics, hospital type, size, staffing and financial performance are also significantly correlated with inpatient satisfaction. Patients are more satisfied with specialist hospitals and large hospitals measured by the number of beds and surgeries. Hospitals with higher nurse-to-bed ratio also receive more satisfaction. The financial performance of hospitals, however, is negatively associated with satisfaction. CONCLUSION: Patient satisfaction contains unique information on service quality and thus should be incorporated into the matrix of hospital evaluation. Meanwhile, differences in patient composition must be adjusted to make fair comparisons across hospitals. Moreover, future reform needs to put greater efforts in the design of comprehensive public insurance scheme, efficient hospital structure and an overall well-functioning health-care delivery system in order to better serve patients in China.

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