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1.
BMC Cancer ; 21(1): 22, 2021 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-33402129

RESUMO

BACKGROUND: An accurate intraoperative prediction of lymph node metastatic risk can help surgeons in choosing precise surgical procedures. We aimed to develop and validate nomograms to intraoperatively predict patterns of regional lymph node (LN) metastasis in patients with esophageal cancer. METHODS: The prediction model was developed in a training cohort consisting of 487 patients diagnosed with esophageal cancer who underwent esophagectomy with complete LN dissection from January 2016 to December 2016. Univariate and multivariable logistic regression were used to identify independent risk factors that were incorporated into a prediction model and used to construct a nomogram. Contrast-enhanced computed tomography reported LN status and was an important comparative factor of clinical usefulness in a validation cohort. Nomogram performance was assessed in terms of calibration, discrimination, and clinical usefulness. An independent validation cohort comprised 206 consecutive patients from January 2017 to December 2017. RESULTS: Univariate analysis and multivariable logistic regression revealed three independent predictors of metastatic regional LNs, three independent predictors of continuous regional LNs, and two independent predictors of skipping regional LNs. Independent predictors were used to build three individualized prediction nomograms. The models showed good calibration and discrimination, with area under the curve (AUC) values of 0.737, 0.738, and 0.707. Application of the nomogram in the validation cohort yielded good calibration and discrimination, with AUC values of 0.728, 0.668, and 0.657. Decision curve analysis demonstrated that the three nomograms were clinically useful in the validation cohort. CONCLUSION: This study presents three nomograms that incorporate clinicopathologic factors, which can be used to facilitate the intraoperative prediction of metastatic regional LN patterns in patients with esophageal cancer.

2.
Artigo em Inglês | MEDLINE | ID: mdl-33441270

RESUMO

OBJECTIVE: The aim of this study was to observe the spatial distribution and dynamic changes of matrix metalloproteinase (MMP)-2, MMP-9, and collagen in in stent restenosis (ISR) and to explore their influence on ISR. METHODS: Sixty Z type stents were implanted into the common iliac arteries of minipigs, which were divided into 10 groups (six in each group) according to euthanasia time (6 hours, and 1, 3, 7, 14, 28, 56, 84, 168, and 336 days). After the samples were harvested, haematoxylin and eosin staining, immunohistochemical staining, Western blotting, and Picrosirius red staining were performed for all groups. RESULTS: ISR occurred in all six minipigs in the 56 day group (percentage diameter stenosis range 71.6%-79.2%, mean ± standard deviation 75.6% ± 2.5%). The percentage diameter stenosis decreased to 38.3% ± 2.7% at 336 days (p < .001). Immunohistochemical staining showed that MMP-2 and MMP-9 were strongly stained near the internal elastic lamina or in the damaged parts of the intima, around the struts and neointimal lumen surface in the ISR process. The expression of MMP-2 and MMP-9 at 56 days was significantly lower compared with their peaks (seven days and one day [p < .001; p = .002], respectively). At 56 days, the collagen content reached its maximum (mean integrated optical density range 0.73-0.92, mean ± standard deviation 0.82 ± 0.09). From the 14 day group to the 336 day group, mature collagen in neointima was correlated negatively with MMP-2 (γ(36) = -0.816; p < .001) and MMP-9 expression (γ(36) = -0.853; p < .001). During the neointimal regression period, new collagen in neointima was positively correlated with MMP-2 (γ(24) = 0.683; p < .001) and MMP-9 (γ(24) = 0.873; p < .001). CONCLUSION: This study has demonstrated the spatial distribution of and dynamic changes in MMP-2, MMP-9, and collagen in ISR by simulating the process of neointima from generation to regression after stent implantation. When ISR occurred, MMP-2 and MMP-9 expression decreased and collagen content reached its maximum, which might contribute to ISR.

3.
J Am Chem Soc ; 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33448848

RESUMO

The use of the N-phosphinoamidinato NHC-diborene catalyst 2 for hydroboration is described. The N-phosphinoamidine tBu2PN(H)C(Ph)═N(2,6-iPr2C6H3) was reacted with nBuLi in Et2O to afford the lithium derivative, which was then treated with B2Br4(SMe2)2 in toluene to form the N-phosphinoamidinate-bridged diborane 1. It was reacted with the N-heterocyclic carbene IMe (:C{N(CH3)C(CH3)}2) and excess potassium graphite at room temperature in toluene to give the N-phosphinoamidinato NHC-diborene compound 2. It can stoichiometrically activate ammonia-borane and carbon dioxide. It also showed catalytic capability. A 2 mol % portion of 2 catalyzed the hydroboration of carbon dioxide (CO2) with pinacolborane (HBpin) in deuterated benzene (C6D6) at 110 °C (conversion >99%), which afforded the methoxyborane [pinBOMe] (yield 97.8%, TOF 33.3 h-1) and the bis(boryl) oxide [(pinB)2O]. In addition, 5 mol % of 2 catalyzed the N-formylation of secondary and primary amines by carbon dioxide and pinacolborane to yield the N-formamides (average yield 91.6%, TOF 25.9 h-1). Moreover, 2 showed chemoselectivity toward catalytic hydroboration of carbonyl compounds. In mechanistic studies, the B═B double bond in compound 2 activated the substrates, the intermediates of which then underwent hydroboration with pinacolborane to yield the products and regenerate catalyst 2.

4.
Adv Mater ; : e2006897, 2021 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-33470477

RESUMO

Weak binding and affinity between the conductive support and iodine species leads to inadequate electron transfer and the shuttle effect. Herein, redox kinetics and duration are significantly boosted by introducing a Nb2 CTX host that is classified as a layered 2D Nb-based MXene. With a facile electrodeposition strategy, initial I- ions are electrically driven to insert in the nanosized interlayers and are electro-oxidized in situ. Linear I2 is firmly confined inside and benefits from the rapid charge supply from the MXene. Consequently, an aqueous Zn battery based on a Zn metal anode and ZnSO4 electrolyte delivers an ultraflat plateau at 1.3 V, which contributes to 84.5% of the capacity and 89.1% of the energy density. Record rate capability (143 mAh g-1 at 18 A g-1 ) and lifespan (23 000) cycles are achieved, which are far superior to those of all reported aqueous MXenes and I2 -metal batteries. Moreover, the low voltage decay rate of 5.6 mV h-1 indicates its superior anti-self-discharge properties. Physicochemical analyses and density functional theory calculations elucidate that the localized electron transfer and trapping effect of the Nb2 CTX MXene host are responsible for enhanced kinetics and suppressed shuttle behavior. This work can be extended to the fabrication of other I2 -metal batteries with long-life-time expectations.

5.
J Phys Chem Lett ; : 793-799, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33411544

RESUMO

The identification ability of nanopore sequencing is severely hindered by the diversity of amino acids in a protein. To tackle this problem, a graphene nanoslit sensor is adopted to collect force and current signals to distinguish 20 residues. Extensive molecular dynamics simulations are performed on sequencing peptides under pulling force and applied electric field. Results show that the signals of force and current can be simultaneously collected. Tailoring the geometry of the nanoslit sensor optimizes signal differences between tyrosine and alanine residues. Using the tailored geometry, the characteristic signals of 20 types of residues are detected, enabling excellent distinguishability so that the residues are well-grouped by their properties and signals. The signals reveal a trend in which the larger amino acids have larger pulling forces and lower ionic currents. Generally, the graphene nanoslit sensor can be employed to simultaneously sense two signals, thereby enhancing the identification ability and providing an effective mode of nanopore protein sequencing.

6.
ACS Nano ; 2021 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-33435679

RESUMO

With fluidity and dangerous corrosiveness, liquid insulating bromine elemental (Br2) can hardly be confined by traditional conductive carriers (mainly carbon materials) for efficient redox without shuttle behavior. Thus, stationary Br2-based energy storage devices are rarely advanced. Here, we introduce an electrochemical active parasite Br2 to the Ti3C2TXMXene host and construct an advanced aqueous zinc redox battery via a facile electrodeposition process (Br-Ti3C2TX). Both ex situ experimental characterizations and density functional theory (DFT) simulations have validated the natural affinity between MXenes and Br species, which is manifested as their spontaneous fixation accompanied by rapid transfer of electrons in the interface region and interlayer confinement. Consequently, the battery delivers a high-voltage plateau at 1.75 V that contributes to an improved energy density of 259 Wh kg-1Br (144 Wh kg-1Br-Ti3C2TX), exhibiting efficient output capability in the high-voltage region. Besides, benefiting from enhanced redox kinetics, the capacity achieved at -15 °C approaches to 69% of the value at room temperature. More importantly, an excellent 10 000 cycles at -15 °C with negligible capacity decay is identified. The paradigm represents a step forward for developing stationary aqueous metal-Br2 batteries.

7.
Nucleic Acids Res ; 49(D1): D82-D85, 2021 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-33175160

RESUMO

The European Nucleotide Archive (ENA; https://www.ebi.ac.uk/ena), provided by the European Molecular Biology Laboratory's European Bioinformatics Institute (EMBL-EBI), has for almost forty years continued in its mission to freely archive and present the world's public sequencing data for the benefit of the entire scientific community and for the acceleration of the global research effort. Here we highlight the major developments to ENA services and content in 2020, focussing in particular on the recently released updated ENA browser, modernisation of our release process and our data coordination collaborations with specific research communities.

8.
JAMA Intern Med ; 181(1): 71-78, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32910179

RESUMO

Importance: Lymphopenia is common and correlates with poor clinical outcomes in patients with coronavirus disease 2019 (COVID-19). Objective: To determine whether a therapy that increases peripheral blood leukocyte and lymphocyte cell counts leads to clinical improvement in patients with COVID-19. Design, Setting and Participants: Between February 18 and April 10, 2020, we conducted an open-label, multicenter, randomized clinical trial at 3 participating centers in China. The main eligibility criteria were pneumonia, a blood lymphocyte cell count of 800 per µL (to convert to ×109/L, multiply by 0.001) or lower, and no comorbidities. Severe acute respiratory syndrome coronavirus 2 infection was confirmed with reverse-transcription polymerase chain reaction testing. Exposures: Usual care alone, or usual care plus 3 doses of recombinant human granulocyte colony-stimulating factor (rhG-CSF, 5 µg/kg, subcutaneously at days 0-2). Main Outcomes and Measures: The primary end point was the time from randomization to improvement of at least 1 point on a 7-category disease severity score. Results: Of 200 participants, 112 (56%) were men and the median (interquartile range [IQR]) age was 45 (40-55) years. There was random assignment of 100 patients (50%) to the rhG-CSF group and 100 (50%) to the usual care group. Time to clinical improvement was similar between groups (rhG-CSF group median of 12 days (IQR, 10-16 days) vs usual care group median of 13 days (IQR, 11-17 days); hazard ratio, 1.28; 95% CI, 0.95-1.71; P = .06). For secondary end points, the proportion of patients progressing to acute respiratory distress syndrome, sepsis, or septic shock was lower in the rhG-CSF group (rhG-CSF group, 2% vs usual care group, 15%; difference, -13%; 95%CI, -21.4% to -5.4%). At 21 days, 2 patients (2%) had died in the rhG-CSF group compared with 10 patients (10%) in the usual care group (hazard ratio, 0.19; 95%CI, 0.04-0.88). At day 5, the lymphocyte cell count was higher in the rhG-CSF group (rhG-CSF group median of 1050/µL vs usual care group median of 620/µL; Hodges-Lehmann estimate of the difference in medians, 440; 95% CI, 380-490). Serious adverse events, such as sepsis or septic shock, respiratory failure, and acute respiratory distress syndrome, occurred in 29 patients (14.5%) in the rhG-CSF group and 42 patients (21%) in the usual care group. Conclusion and Relevance: In preliminary findings from a randomized clinical trial, rhG-CSF treatment for patients with COVID-19 with lymphopenia but no comorbidities did not accelerate clinical improvement, but the number of patients developing critical illness or dying may have been reduced. Larger studies that include a broader range of patients with COVID-19 should be conducted. Trial Registration: Chinese Clinical Trial Registry: ChiCTR2000030007.


Assuntos
/tratamento farmacológico , Fator Estimulador de Colônias de Granulócitos/uso terapêutico , Fármacos Hematológicos/uso terapêutico , Mortalidade Hospitalar , Linfopenia/tratamento farmacológico , Corticosteroides/uso terapêutico , Adulto , Antibacterianos/uso terapêutico , Antivirais/uso terapêutico , Linfócitos B , Contagem de Linfócito CD4 , /complicações , China , Progressão da Doença , Feminino , Humanos , Células Matadoras Naturais , Contagem de Leucócitos , Contagem de Linfócitos , Linfopenia/sangue , Linfopenia/complicações , Masculino , Pessoa de Meia-Idade , Mortalidade , Ventilação não Invasiva , Oxigenoterapia , Proteínas Recombinantes , Insuficiência Respiratória/fisiopatologia , Sepse/fisiopatologia , Choque Séptico/fisiopatologia , Fatores de Tempo
9.
Sci Total Environ ; 756: 144061, 2021 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-33280877

RESUMO

To reduce the harm to wildlife caused by habitat loss and degradation, significant resources have been invested in habitat restoration worldwide. However, whether restored habitats can support wildlife communities similar to those natural ones remains unclear. Providing habitat for waterbirds, which are dependent on wetland for their survival, is a major target in many wetland restoration practices. Here we conducted a year-round waterbird survey at Chongming Dongtan, a national nature reserve established for waterbird conservation in the south Yellow Sea, in order to compare the characteristics of waterbird communities in four wetland types: restored wetlands, natural tidal wetlands, and two artificial wetlands (fish ponds and farmlands). We determined whether waterbird diversity and species composition differed among the wetland types. The results indicated that waterbird diversity, in terms of species richness, individual density, Shannon-Wiener diversity, functional diversity, and phylogenetic diversity, was generally similar in the restored and natural wetlands and was higher in the restored and natural wetlands than in fish ponds or farmlands. Most threatened species and exclusive species occurred in both natural and restored wetlands, but the overall species composition significantly differed between natural and restored wetlands. Non-metric multidimensional scaling analysis also indicated that waterbird community significantly differed among the wetland types. The results suggest that restored wetlands support substantial waterbird diversity but cannot replace natural wetlands because they lack the period tides that many tideland specialists (shorebirds) depend on. This study highlights the importance of protecting natural wetlands for waterbird conservation. We propose that both the diversity and species composition of wildlife communities should be considered in evaluating the effectiveness of habitat restoration for wildlife.


Assuntos
Conservação dos Recursos Naturais , Áreas Alagadas , Animais , Biodiversidade , Ecossistema , Filogenia
10.
J Foot Ankle Surg ; 60(1): 109-113, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33218862

RESUMO

There is no consensus on whether a fibular fracture should be fixed when a concurrent extra-articular distal tibia fracture is managed with intramedullary nails. We evaluated the use of fibular fixation in a meta-analysis of randomized trials and observational studies. Two researchers independently assessed the quality of eligible studies and extracted the data. We analyzed 4 trials with a pooled sample of 283 patients (mean age, 24 to 43 years; 141 men), 94 who had undergone fibular fixation and 189 who had not. Two randomized trials assessed on the Cochrane risk-assessment criteria were determined to have a moderate risk of bias, and 2 retrospective cohort studies evaluated with the Newcastle-Ottawa Scale were considered to be high quality. Tibia malalignment at follow-up times ranging from 12 to 72 weeks was reported in 20% (19/94) of patients in the fibular-fixation group and 67% (126/189) of patients in the nonfixation group, indicating that fibular fixation was significantly associated with a lower risk of malalignment (risk ratio, 0.34; 95% confidence interval [CI] 0.13 to 0.92; p = .03). The groups did not differ in the proportion of patients with malalignment immediately after surgery, delayed union, nonunion, or infection. When distal extra-articular tibia-fibular fractures are treated with intramedullary nails, fibular fixation may decrease the risk of late malalignment. Further randomized controlled trials with higher quality are required to verify the result.

11.
Chemosphere ; 264(Pt 2): 128495, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33038739

RESUMO

The vast usage of agrochemicals enhances food security globally but may pose challenge to understand the risk assessment to non-target organisms and human beings, and liver microsomes are responsible for metabolism of these agrochemicals in vivo. In this study, stereoselective metabolism of chiral triazole fungicide cyproconazole in rat liver microsomes has been investigated through chiral LC-MS/MS technique. The half-lives of four cyproconazole stereoisomers were different ranging from 95 to 187 min, and (2S, 3R)-cyproconazole preferentially metabolized in rat liver microsomes. In addition, the results from metabolism kinetic study indicated that rat liver microsomes showed the stronger potency to deplete (2S, 3R)-cyproconazole than the others. Then, homology modeling and molecular docking results revealed that the docking energy between (2S, 3R)-cyproconazole and the cytochrome P450 CYP3A1 (-7.46 kcal⋅mol-1) was higher than the others, meaning that (2S, 3R)-cyproconazole exhibited the strongest binding ability to this enzyme. Moreover, two main metabolites of cyproconazole coming from hydroxylation and dehydration were observed, and possible metabolic reactions of cyproconazole in rat liver microsomes were identified through using an LCQ ion trap mass spectrometer. This kind of systematic metabolic investigation of cyproconazole at chiral level would provide valuable information for ecological and human health risk assessment of chiral pesticides.


Assuntos
Microssomos Hepáticos , Espectrometria de Massas em Tandem , Animais , Cromatografia Líquida , Simulação de Acoplamento Molecular , Ratos , Triazóis
12.
Environ Pollut ; 268(Pt B): 115860, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33120142

RESUMO

The methylcytosine dioxygenase Ten-eleven translocation 1 (TET1) is an important regulator for the balance of DNA methylation and hydroxymethylation through various pathways. Increasing evidence has suggested that TET1 probably involved in DNA methylation and demethylation dysregulation during chemical carcinogenesis. However, the role and mechanism of TET1 during lung cancer remains unclear. In this study, we found that TET1 expression was significantly down-regulated and the methylation level was significantly up-regulated in 3-methylcholanthrene (3-MCA) induced cell malignant transformation model, rat chemical carcinogenesis model, and human lung cancer tissues. Demethylation experiment further confirmed that DNA methylation negatively regulated TET1 gene expression. TET1 overexpression inhibited cell proliferation, migration and invasion in vitro and in vivo, while knockdown of TET1 resulted in an opposite phenotype. DNA hydroxymethylation level in the promoter region of base excision repair (BER) pathway key genes XRCC1, OGG1, APEX1 significantly decreased and the degree of methylation gradually increased in malignant transformed cells. After differential expression of TET1, the level of hydroxymethylation, methylation and expression of these genes also changed significantly. Furthermore, TET1 binds to XRCC1, OGG1, and APEX1 to maintain them hydroxymethylated. Blockade of BER pathway key gene alone or in combination significantly diminished the effect of TET1. Our study demonstrated for the first time that TET1 expression is regulated by DNA methylation and TET1-mediated hydroxymethylation regulates BER pathway to inhibit the proliferation, migration and invasion during 3-MCA-induced lung carcinogenesis. These results suggested that TET1 gene can be a potential biomarker and therapy target for lung cancer.


Assuntos
Dioxigenases , Proteínas Proto-Oncogênicas , Animais , Metilação de DNA , Reparo do DNA , Dioxigenases/genética , Epigênese Genética , Pulmão/metabolismo , Oxigenases de Função Mista , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas/metabolismo , Ratos
13.
Int J Infect Dis ; 103: 364-369, 2020 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-33278623

RESUMO

BACKGROUND: Linezolid presents strong antimicrobial activity against multidrug-resistant (MDR) pulmonary tuberculosis (TB), but its application in osteoarticular tuberculosis treatment remains understudied. Our objective was to analyze the bone penetration efficiency of linezolid in osteoarticular TB patients. METHODS: Osteoarticular TB patients, treated with 600 mg q 24 h linezolid-containing regimens and undergoing surgery, were prospectively and consecutively enrolled. One dose linezolid was administered before surgery. Blood and bone samples were collected simultaneously during operation, and their linezolid concentrations were then detected using high-performance liquid chromatography-tandem mass spectrometry. Pus samples were subjected to mycobacterial culture and GeneXpert MTB/RIF assay. The minimum inhibition concentrations (MICs) and drug susceptibility testing were performed with the recovered isolates. RESULTS: A total of 36 eligible osteoarticular TB patients were enrolled, including five MDR/rifampicin-resistant cases. All the 12 recovered isolates had MICs ≤0.5 µg/mL for linezolid. Mean concentrations in plasma, collected 100-510 min after the preoperative dosing, were 10.43 ± 4.83 µg/mL (range 3.29-22.26 µg/mL), and median concentrations in bone were 3.93 µg/mL (range 0.61-16.34 µg/mL). The median bone/plasma penetration ratio was 0.42 (range 0.14-0.95 µg/mL). Linezolid concentration in bone had a linear correlation with the drug concentration in plasma (r = 0.7873, p < 0.0001), while plasma concentration could explain 61.98% of the variation of concentration in bone (R2 = 0.6198). Notably, stratification analysis by sampling time demonstrated that samples collected 200-510 min after dosing had very good linear relationships between their bone and plasma concentrations (r = 0.9323). CONCLUSIONS: Linezolid penetrates from blood to bone efficiently, and the penetration further stabilizes ∼3 h after dosing.

14.
J Acoust Soc Am ; 148(6): 3836, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33379930

RESUMO

The Green's function retrieval in media with horizontal boundaries usually only considers the extraction of direct and reflected waves but ignores the virtual head waves, which have been observed experimentally from ocean ambient noise and used to invert for geometric and environmental parameters. This paper derives the extraction of virtual head waves from ocean ambient noise using a vertically spaced sensor pair in a Pekeris waveguide. Ocean ambient noise in the water column is a superposition of direct, reflected, and head waves. The virtual head waves are produced by the cross-correlations between head waves and either reflected waves or other head waves. The locations of sources that contribute to the virtual head waves are derived based on the method of stationary phase. It is the integration over time of contributions from these sources that makes the virtual head waves observable. The estimation of seabed sound speed with virtual head waves using a vertical line array is also demonstrated. The slope of the virtual head waves is different from that of direct and reflected waves in the virtual source gather; it is therefore possible to constructively stack the virtual head waves. The predictions are verified with simulations.

15.
Acta Pharmacol Sin ; 2020 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-33288861

RESUMO

Fibroblast growth factor receptor (FGFR) is a promising anticancer target. Currently, most FGFR inhibitors lack sufficient selectivity and have nonnegligible activity against kinase insert domain receptor (KDR), limiting their feasibility due to the serious side effects. Notably, compensatory activation occurs among FGFR1-4, suggesting the urgent need to develop selective pan-FGFR1-4 inhibitors. Here, we explored the antitumor activity of DW14383, a novel irreversible FGFR1-4 inhibitor. DW14383 exhibited equivalently high potent inhibition against FGFR1, 2, 3 and 4, with IC50 values of less than 0.3, 1.1, less than 0.3, and 0.5 nmol/L, respectively. It is a selective FGFR inhibitor, exhibiting more than 1100-fold selectivity for FGFR1 over recombinant KDR, making it one of the most selective FGFR inhibitors over KDR described to date. Furthermore, DW14383 significantly inhibited cellular FGFR1-4 signaling, inducing G1/S cell cycle arrest, which in turn antagonized FGFR-dependent tumor cell proliferation. In contrast, DW14383 had no obvious antiproliferative effect against cancer cell lines without FGFR aberration, further confirming its selectivity against FGFR. In representative FGFR-dependent xenograft models, DW14383 oral administration substantially suppressed tumor growth by simultaneously inhibiting tumor proliferation and angiogenesis via inhibiting FGFR signaling. In summary, DW14383 is a promising selective irreversible pan-FGFR inhibitor with pan-tumor spectrum potential in FGFR1-4 aberrant cancers, which has the potential to overcome compensatory activation among FGFR1-4.

16.
Hu Li Za Zhi ; 67(6): 25-31, 2020 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-33274423

RESUMO

The COVID-19 pandemic has greatly impacted first-line medical staff as well as nursing-student clinical practicum programs. How to cooperate with the government's pandemic-prevention policies and reduce the gap between education and clinical practice represent significant challenges. In this paper, Chang Gung University of Science and Technology (CCUST) is used as an example to show how schools in Taiwan have effectively adapted the fundamentals of nursing practicum programs to the current pandemic using e-learning, group discussions, case analysis, clinical skill practice, and clinical case simulation scenario exercises. The program at CCUST both takes into account the safety of students and has achieved all critical nursing practice goals. After implementation of these adjustments, satisfaction among nursing students with the practicum environment and the clinical instructors was found to be significantly higher for the on-campus clinical practicum than for the off-campus clinical practicum. Furthermore, the results of qualitative data analyses show that nursing students in the on-campus practicum gained significant knowledge and experience and commented positively on their experience. For example, the students indicated that they were satisfied with the simulated clinical environment of the CCC, the teaching strategies and adaptability of the instructor, and the application of virtual reality scenario cases to enhance skill proficiency and learning outcomes. The adjusted nursing clinical practicum described in this paper may be used as a reference to ensure the quality of nursing clinical practicum programs is maintained during epidemics.


Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem/psicologia , Humanos , Pandemias , Taiwan
17.
Ying Yong Sheng Tai Xue Bao ; 31(11): 3711-3718, 2020 Nov.
Artigo em Chinês | MEDLINE | ID: mdl-33300721

RESUMO

To understand the effects of activated water irrigation on soybean growth under different drought conditions and explore the underlying mechanisms, an indoor pot experiment was conducted under four moisture conditions of 95%-100%, 75%-85%, 55%-65% and 35%-45% of the maximum water holding capacity (80% moisture) of the medium. Soybean was irrigated with tap water, magnetized water, aerated water, and magnetized and then aerated water, respectively. The results showed that total biomass, leaf area, root to shoot ratio, and root length of magnetized water irrigation increased by 67.6%, 23.5%, 84.6% and 122.8%, respectively compared with tap water irrigation after 30 days of growth under 35%-45% severe drought condition. All the variables were increased by 70.8%, 24.0%, 61.9% and 162.3% respectively in magnetized and aerated water treatment. There was no significant difference for foliar chlorophyll content. The values of the other water treatments were slightly lower than that of tap water. In conclusion, magnetized water irrigation effectively enhanced root growth, root-shoot ratio, and water use efficiency of soybean, and alleviated the negative effects of drought stress under severe drought condition.


Assuntos
Secas , Soja , Folhas de Planta , Raízes de Plantas , Água
18.
Chempluschem ; 2020 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-33314751

RESUMO

Cationic amorphous metal-organic cage (MOC)-based materials capable of removing anionic pollutants from water are receiving increasing attention but they are still relatively less reported. Herein, for the first time, a cationic porous MOC-based extended framework, namely, CL-aMOC-1, was constructed by covalent linking of a cationic Pd12 L24 (L=3,5-di-pyridin-4-yl-benzaldehyde) cage with a 1,4-bis(4-aminophenyl)benzene (BAPB) linker. Interestingly, the reaction could be completed within 15 min using an amorphous MOC-based solid (aMOC-1) and BAPB as reactant via a low-temperature solid-state reaction. The CL-aMOC-1 showed improved stability, lower solubility and higher oxo-anion uptake in water compared with the original aMOC-1. The adsorption capacities for CrO4 2- , Cr2 O7 2- and ReO4 - on CL-aMOC-1 were 245.1, 311.5 and 452.5 mg/g, respectively, in which the uptake of Cr(VI)-containing oxo-anions was among the highest compared with those of other metal-organic materials. The CL-aMOC-1 can selectively capture oxo-anions in the presence of competitive anions. It exhibits good reusability as over 85 % of the uptake capacity is retained after 5 cycles. Finally, it shows the ability to remove Cr(VI) ions from electroplating wastewater.

19.
J Thorac Dis ; 12(10): 5505-5516, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33209384

RESUMO

Background: Differentiating synchronous double primary lung adenocarcinoma (SDPLA) from interpulmonary metastasis (IPM) has significant therapeutic and prognostic implications. This retrospective study aimed to investigate the potential of computed tomography (CT) features and two known oncogenic driver mutations [epidermal growth factor receptor (EGFR) and anaplastic large-cell lymphoma kinase (ALK)] to discriminate synchronous double primary lung adenocarcinoma from one primary pulmonary adenocarcinoma with intrapulmonary metastasis. Methods: Patients with SDPLA were selected at our hospital, and those with IPM served as the control group. All 60 patients (40 with SDPLA and 20 with IPM) were tested for EGFR mutations and ALK status, and they underwent chest CT prior to any treatment. Independent-sample Student's t-test was used for comparisons between two groups of normally distributed variables, and the Chi-square test was used to compare categorical variables. Results: The discordance rate of EGFR mutations was significantly higher in patients with SDPLA than in patients with IPM (40% vs. 5%, P<0.001). The incidence of ALK-positive status was 15%, and patients with IPM were more likely to be ALK-positive than patients with SDPLA (35% vs. 5%, P<0.001). Compared to IPM, SDPLA more frequently occurred in different lobes (P=0.024), presented with less lymphadenopathy (P=0.014), showed a smaller difference in diameter (Äd) between tumors (P=0.001) and more commonly presented as lobulated tumors (P<0.001), spiculated masses (P<0.001), ground-glass opacities (GGOs) (P=0.001) and air bronchograms (P=0.020). Conclusion: Patients with SDPLA showed higher discordance with EGFR mutations and were less frequently ALK-positive than those with IPM. Thus, the CT characteristics are significantly different between SDPLA and IPM.

20.
J Phys Chem B ; 124(47): 10632-10640, 2020 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-33197314

RESUMO

Graphene nanosheets (GNs) may spontaneously insert into cell membranes and perturb the dynamic organization of the surrounding lipid bilayer. Understanding the interaction between GNs and cell membranes is vital for learning how to avoid adverse effects and nanomedical applications. To better understand the nature of such perturbations, we performed molecular dynamics simulations to provide molecular details about the molecular mechanism. In this study, we observed two typical interaction states of the GN-membrane systems. Both states have different effects on the cell membrane (lipid density, membrane thickness, and the mobility of phospholipids). Of great interest is that the insertion of GNs could generate a liquid-ordered domain and dramatically reduce the rate of lipid flip-flop. A similar phenomenon could be found in the GN adhesion states. Thus, these results could facilitate molecular-level understanding of the cytotoxicity of nanomaterials and help future studies on designing personalized drugs and therapeutics for diseases.

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