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1.
BMC Cardiovasc Disord ; 21(1): 11, 2021 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-33407152

RESUMO

BACKGROUND: We aimed to use the Medical Information Mart for Intensive Care III database to build a nomogram to identify 30-day mortality risk of deep vein thrombosis (DVT) patients in intensive care unit (ICU). METHODS: Stepwise logistic regression and logistic regression with least absolute shrinkage and selection operator (LASSO) were used to fit two prediction models. Bootstrap method was used to perform internal validation. RESULTS: We obtained baseline data of 535 DVT patients, 91 (17%) of whom died within 30 days. The discriminations of two new models were better than traditional scores. Compared with simplified acute physiology score II (SAPSII), the predictive abilities of two new models were improved (Net reclassification improvement [NRI] > 0; Integrated discrimination improvement [IDI] > 0; P < 0.05). The Brier scores of two new models in training set were 0.091 and 0.108. After internal validation, corrected area under the curves for two models were 0.850 and 0.830, while corrected Brier scores were 0.108 and 0.114. The more concise model was chosen to make the nomogram. CONCLUSIONS: The nomogram developed by logistic regression with LASSO model can provide an accurate prognosis for DVT patients in ICU.

2.
BMC Pregnancy Childbirth ; 21(1): 21, 2021 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-33407256

RESUMO

BACKGROUND: The association between gestational diabetes mellitus (GDM) and childhood body weight remains controversial, and additional study is needed, especially in Asian populations. METHODS: This prospective study investigated the association between maternal glucose concentration, and GDM status and infant body weight from birth to 12 months of age. Linear mixed effects (LME) models and multiple linear regression were used to assess the longitudinal association of GDM with infant growth measured by weight-for-length z-scores (WFLZ), weight-for-age z-scores (WFAZ), and length-for-age z-scores (LFAZ) at birth, 1, 3, 6, 8, and 12 months of age. RESULTS: Offspring born to mothers with GDM had higher WFLZ [ß: 0.26 SD units (95% CI: 0.13-0.40)] across infancy than those of mothers without GDM. When stratified analysis by maternal pre-pregnancy body mass index (BMI) status, the association was pronounced in normal-weight [ß:0.28 SD units (95% CI: 0.11-0.45)] and overweight/obese women [ß: 0.34 SD units (95% CI: 0.09-0.58)] but not in underweight women (P for interaction < 0.05). Multiple linear regression found that the effect estimate of GDM on infant WFLZ was highest at birth [ß: 0.36 SD units (95% CI: 0.11-0.61)], remained significant at 1 [ß: 0.22 SD units (95% CI: 0.03-0.41)] and 3 [ß:0.19 SD units (95% CI: 0.01-0.37)] months of age and decreased across infancy. Maternal GDM status was not associated with infant WFAZ or LFAZ. CONCLUSIONS: Maternal GDM status was associated with infant WFLZ, but not WFAZ or LFAZ. The association between GDM status and offspring WFLZ was more pronounced in early infancy or in normal-weight and overweight/obese women. Increased public health efforts to prevent GDM in normal-weight and overweight/obese pre-pregnancy mothers are recommended to control offspring overweight or obesity.

3.
Inorg Chem ; 2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33464879

RESUMO

Z-scheme g-C3N4/Ag3VO4/reduced graphene oxide (rGO) photocatalysts with multi-interfacial electron-transfer paths enhancing CO2 photoreduction under UV-vis light irradiation were successfully prepared by a hydrothermal process. Transmission electron microscope images displayed that the prepared photocatalysts have a unique 2D-0D-2D ternary sandwich structure. Photoelectrochemical characterizations including TPR, electrochemical impedance spectroscopy, photoluminescence, and linear sweep voltammetry explained that the multi-interfacial structure effectively improved the separation and transmission capabilities of photogenerated carriers. Electron spin resonance spectroscopy and band position analysis proved that the electron-transfer mode of g-C3N4/Ag3VO4 meets the Z-scheme mechanism. The introduction of rGO provided more electron-transfer paths for the photocatalysts and enhanced the stability of Ag-based semiconductors. In addition, the π-π conjugation effect between g-C3N4 and rGO further improved the generation and separation efficiency of photogenerated electron-hole pairs. Then, the multiple channels (Ag3VO4 → CN, Ag3VO4 → rGO → CN, and rGO → CN) due to the 2D-0D-2D structure greatly improving the photocatalytic CO2 reduction ability have been discussed in detail.

4.
Bioresour Technol ; 325: 124693, 2021 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-33465646

RESUMO

In this study, the effects of adding different food waste proportions (volatile solids ratio of 3:7, 5:5, 7:3) to tylosin fermentation dreg on anaerobic digestion were investigated. The results showed that the co-digestion group (294-399 mL·g-VS-1) increased methane production by 14.8%-55.5% compared with tylosin fermentation dreg alone-digestion (256 mL·g-VS-1). The correlation analysis showed that pH, total volatile fatty acids and acetic acid were the most important factors affecting cumulative methane production. Tylosin in the solid and liquid phases decreased significantly after anaerobic digestion, indicating that tylosin could be effectively removed by co-digestion, and the total removal rate was 68.2%-83.7%. Therefore, due to the satisfactory methane yield and the tolerable tylosin removal rate, it is feasible to make the co-digestion of tylosin fermentation dreg and food waste.

5.
Chin Med J (Engl) ; Publish Ahead of Print2021 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-33410621

RESUMO

BACKGROUND: Obesity is a fundamental factor in metabolic disorders such as hyperlipidemia, insulin resistance, fatty liver, and atherosclerosis. However, effective preventive measures are still lacking. This study aimed to investigate different surgical protocols for removing partial adipose tissue before the onset of obesity and determine whether, and by which protocol, preliminary adipose removal could exert potent preventive effects against diet-induced metabolic disorders. METHODS: Male low-density lipoprotein receptor (LDL-R) knockout (KO) mice were randomly divided into four groups and subjected to epididymal fat removal (Epi-FR) surgery, subcutaneous fat removal (suQ-FR) surgery, both subcutaneous and epididymal fat removal (Epi + suQ-FR) surgery, or sham-operation. After 1 week of recovery, all mice were given a high-fat diet (HFD) for 10 weeks to induce metabolic disorders. RESULTS: In the Epi-FR group and the sham-operated group, the mean numbers of the residual subcutaneous fat were 28.59 mg/g and 18.56 mg/g, respectively. The expression of relative genes such as Pparg, Cebpa, Dgat2, Fabp4 and Cd36 in the residual subcutaneous fat increased 2.62, 3.90, 3.11, 2.06, 1.78 times in the Epi-FR group compared with that in the sham-operated group. Whereas in the other fat-removal groups, the residual fat depots had no significant change in either size or gene expression, as compared with those of the sham-operated group. Plasma lipid and glucose levels and insulin sensitivity, as detected by the glucose tolerance test, were not significantly alleviated in the three fat removal groups. Liver mass or lipid content was not attenuated in any of the three fat removal groups. The atherosclerosis burdens in the entire inner aorta and aortic root did not decrease in any of the three fat removal groups. CONCLUSIONS: Our data suggest that removal of epididymal adipose or subcutaneous adipose alone or in combination before the onset of obesity did not protect against hyperlipidemia, insulin resistance, fatty liver, or atherosclerosis in LDL-R KO mice fed with a HFD. Hence, adipose removal possibly does not represent a potential approach in preventing obesity-related metabolic disorders in the obesity-susceptible population.

6.
Sci Total Environ ; 758: 143694, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33267995

RESUMO

The organophosphate flame retardant, tris (1-chloro-2-propyl) phosphate (TCPP), is ubiquitous in environmental matrices; however, there is a paucity of information concerning its systemic toxicity. Herein, we investigated the effects of TCPP exposure on zebrafish neurodevelopment and swimming behavior to elucidate the underlying molecular mechanisms of neurotoxicity. Under TCPP gradient concentration exposure, the hatching rates were declined by up to 33.3% in 72 hpf, and the malformation rates increased from 15% to 50%. Meanwhile, TCPP led to abnormal behaviors including decreased locomotive activity in the dark and slow/insensitive responses to sound and light stimulation of larvae. TCPP caused excessive apoptosis and ROS accumulation in early embryonic development, with hair cell defects and structural deformity of neuromast. Abnormal expression of neurodevelopment (pax6a, nova1, sox11b, syn2a, foxo3a and robo2) and apoptosis-related genes (baxa, bcl2a and casp8) revealed molecular mechanisms regarding abnormal behavioral and phenotypic symptoms. Chronic TCPP exposure led to anxiety-like behavior and excessive panic, lower capacity for discrimination and risk avoidance, and conditioned place preference in adults. Social interaction tests demonstrated that long-term TCPP stress resulted in unsociable, eccentric, lonely and silent behaviors in adults. Zebrafish memory and cognitive function were severely reduced as concluded from T-maze tests. Potential mechanisms triggering behavioral abnormality were attributed to histopathological injury of diencephalon, abnormal changes in nerve-related genes at transcription and expression levels, and inhibited activity of AChE by TCPP stress. These findings provide an important reference for risk assessment and early warning to TCPP exposure, and offer insights for prevention/mitigation of pollutant-induced nervous system diseases.


Assuntos
Retardadores de Chama , Peixe-Zebra , Animais , Retardadores de Chama/toxicidade , Organofosfatos/toxicidade , Compostos Organofosforados , Fosfatos
7.
Huan Jing Ke Xue ; 42(1): 251-262, 2021 Jan 08.
Artigo em Chinês | MEDLINE | ID: mdl-33372477

RESUMO

In order to understand the characteristics of soil nitrogen and phosphorus loss under different land use patterns in the small watershed of the Three Gorges Reservoir area and provide a scientific basis for the prevention and control of agricultural non-point source pollution, a field test method was used to study the paddy fields and drought in the small Shipanqiu Watershed in the Three Gorges Reservoir area. The characteristics of different runoff concentrations and the fluxes of nitrogen and phosphorus in surface runoff under the five land use schemes of paddy filed, slope land, woodlands, citrus orchards, and vegetable land. The results show that the annual total nitrogen loss followed the order of paddy field[17.73 kg·(hm2·a)-1] > citrus orchards[4.86 kg·(hm2·a)-1] > dry slope land[4.33 kg·(hm2·a)-1] > vegetable field[4.00 kg·(hm2·a)-1] > woodland[2.41 kg·(hm2·a)-1]. The annual total phosphorous loss followed the order of vegetable fields[4.97 kg·(hm2·a)-1] > Citrus orchards[1.87 kg·(hm2·a)-1] > paddy fields[0.93 kg·(hm2·a)-1] > woodlands[0.27 kg·(hm2·a)-1] > dry slope land[0.19 kg·(hm2·a)-1]. The nitrogen and phosphorus losses under the five land use methods were mainly concentrated from April to May with frequent rainfall events, accounting for 53.80%-96.52% and 56.03%-87.78% of the total annual nitrogen and phosphorus losses. Nitrogen loss was mainly in the form of nitrate nitrogen (16.16%-52.70%), and the total nitrogen loss flux and runoff showed a significant positive correlation (R2=0.9826). Particulate phosphorus was the main form of phosphorus loss in vegetable fields (83.30%), but in other land use schemes it is not significant. There were significant differences in the loss of different forms of nitrogen and phosphorus under the different land use schemes. Among them, measures should be taken in vegetable fields to deal with the problem of particulate phosphorus loss under conditions of heavy rainfall. Fertilization should be avoided in paddy fields during periods of concentrated rainfall. Scientific fertilization and reasonable land use configurations are important ways to control agricultural non-point source pollution in small watersheds.

8.
Huan Jing Ke Xue ; 42(1): 467-476, 2021 Jan 08.
Artigo em Chinês | MEDLINE | ID: mdl-33372500

RESUMO

In order to explore biochar fertilizer addition, two types of industrial wastes (YM) and lees (JZ) and agricultural waste corn stover (JG) were used as the raw materials to make biochar, and the biochar was modified to make smoke-modified biochar (M-YM). The culture test method was used to study the law of ammonia volatilization and phosphorus fixation over a certain period of time with the different fertilizer ratios of the four biochars. We aimed to provide a scientific basis for the agricultural utilization of biochar. The results show that:① The cumulative volatilization and volatilization rate of ammonia of the four kinds of biochar with different fertilizer ratios were as follows:A1 > A2 > A3 (A1:2.25 g urea; A2:2.25g urea +2.25 g chlorination potassium; A3:2.25 g urea +2.25 g potassium dihydrogen phosphate). The addition of potassium chloride and potassium dihydrogen phosphate in urea reduced ammonia volatilization, and the cumulative ammonia volatilization and volatilization rate of different biochars under all chemical fertilizer ratios was JZ > M-YM > YM > JG; ② The amount of phosphorus by biochars fixation under the B1, B2, and B3 treatments (B1:0.4 g potassium dihydrogen phosphate; B2:0.4 g potassium dihydrogen phosphate +0.3 g urea; B3:0.4 g potassium dihydrogen phosphate +0.3 g potassium chloride) all increased and then decreased. Then, the fixation amount of phosphorus not significantly changed in period from 30th to 60th day. Among four biochar, the fixation rate of phosphorus was the highest under the B1 treatment.With the ratios of B1, B2, and B3 fertilizers, the order of the fixation rate of the four biochars to phosphorus was:M-YM > YM > JG > JZ. Therefore, in order to reduce the volatilization of ammonia in nitrogen fertilizers in agricultural fertilization, potassium chloride and potassium dihydrogen phosphate can be added to urea. At the same time, in the fixation of phosphorus, increasing the particle size of biochar may weaken the phosphorous fixation ability.

9.
Sci Total Environ ; 759: 143542, 2021 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-33190887

RESUMO

Herein, a novel Zn-loaded biochar (Zn-LBC) originating from Fraxinus pennsylvanica Marsh leaves was successfully prepared through a simple and rapid self-propagating combustion reaction (SHS) and could serve as an efficient adsorbent for tetracycline (TC) elimination from water. The adsorption performance was analyzed via a series of characterizations and batch adsorption experiments. The results showed that the novel adsorbent Zn-LBC exhibited an excellent TC adsorption capacity (159.64 mg/g), which was 2.63 times higher than that of the original biochar (60.78 mg/g). The pseudo-second-order kinetic model and Freundlich isothermal model fit the adsorption data well. It is noteworthy that Zn-LBC had little effect on the adsorption capacity of TC in the 0-10 mg/L various coexisting ion range and presence of humic acid (HA). In addition, the adsorption test of TC using hospital wastewater as the water sample also achieved satisfactory results (raw influent: 52.65 mg/g, final effluent: 85.64 mg/g). FT-IR and XPS investigations showed that the TC adsorption mechanism included surface complexation, π-π interactions, and hydrogen bonds. The results provide new ideas for exploring low-cost and highly efficient modified biochar adsorbent for TC elimination.


Assuntos
Poluentes Químicos da Água , Adsorção , Carvão Vegetal , Cinética , Espectroscopia de Infravermelho com Transformada de Fourier , Tetraciclina , Zinco
10.
Food Chem ; 339: 127885, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32866704

RESUMO

The current study develops an effective, convenient, low-cost, and environmentally friendly method for determining trans-resveratrol (TRA) in peanut oils, the unique proportion of peanut oil, by employing natural cotton fibers without any pretreatment as extraction sorbent and an in-syringe extraction device. The primary factors affecting the extraction recovery are optimized in detail. The condition of 200.0 mg of cotton fibers, six push-pull times, 2.0 mL of n-hexane as washing solvent and 2.0 mL of ethanol as desorption solvent is selected as the best. The linear range is demonstrated to be 10-1000 ng/g with a satisfactory correlation coefficient (R2 = 0.9995), while the limit of detection is calculated as 2.47 ng/g. In addition, the recoveries of TRA are obtained in the range of 93.8-104.4% with RSDs less than 5.5%. Finally, the developed method is successfully applied to determine TRA concentrations in commercial peanut oils and other edible oils.


Assuntos
Arachis/química , Cromatografia Líquida de Alta Pressão/métodos , Fibra de Algodão , Óleo de Amendoim/química , Resveratrol/análise , Adsorção , Arachis/metabolismo , Hexanos/química , Isomerismo , Limite de Detecção , Reprodutibilidade dos Testes , Resveratrol/isolamento & purificação , Extração em Fase Sólida/instrumentação , Extração em Fase Sólida/métodos , Espectrofotometria Ultravioleta
11.
Sci Total Environ ; 752: 141958, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-32892054

RESUMO

Biochar addition can reduce methane (CH4) emissions from paddy soils while the mechanisms involved are not entirely clear. Here, we studied the effect of biochar addition on CH4 emissions, and the abundance and community composition of methanogens and methanotrophs over two rice cultivation seasons. The experiment had the following five treatments: control (CK), chemical fertilizer application only (BC0), and 0.5% (w/w) (BC1), 1% (BC2), and 2% of biochar applied with chemical fertilizers (BC3). The season-wide CH4 emissions were decreased (P < 0.05) by 22.2-95.7% in biochar application compared with BC0 in the two rice seasons (2017 and 2018). In 2017, biochar application decreased methanogenic archaea (mcrA) but increased methanotrophic bacteria (pmoA) abundances, and decreased the ratio of mcrA/pmoA, as compared with BC0 (P < 0.05). In 2018, the abundance of mcrA was lower in BC2 and BC3 than in BC0 (P < 0.05) but was not different between BC0 and BC1, and the abundance of pmoA was lower in BC1, BC2 and BC3 than in BC0 (P < 0.05). The CH4 emissions were positively related to abundances of the mcrA gene (P < 0.01) but not to that of the pmoA gene in two rice seasons. Rice grain yield was increased by 62.2-94.1% in biochar addition treatments compared with BC0 in the first year (P < 0.01) and by 29.9-37.6% in BC2 and BC3 compared with BC0 in the second year (P < 0.05). Biochar application decreased CH4 emissions by reducing methanogenic archaea abundance in the studied flooded paddy soil.


Assuntos
Oryza , Solo , Archaea/genética , Carvão Vegetal , Metano , Microbiologia do Solo
12.
J Clin Endocrinol Metab ; 106(1): 91-107, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32936899

RESUMO

CONTEXT: Multiple mechanisms play roles in restricting the ability of T-cells to recognize and eliminate tumor cells. OBJECTIVE: To identify immune escape mechanisms involved in papillary thyroid carcinoma (PTC) to optimize immunotherapy. SETTING AND DESIGN: iTRAQ analysis was conducted to identify proteins differentially expressed in PTC samples with or without BRAFV600E mutation. Molecular mechanisms regulating tumor cell evasion were investigated by in vitro modulations of BRAF/MAPK and related pathways. The pathological significance of identified tumor-specific major histocompatibility complex class II (tsMHCII) molecules in mediating tumor cell immune escape and targeted immune therapy was further evaluated in a transgenic mouse model of spontaneous thyroid cancer. RESULTS: Proteomic analysis showed that tsMHCII level was significantly lower in BRAFV600E-associated PTCs and negatively correlated with BRAF mutation status. Constitutive activation of BRAF decreased tsMHCII surface expression on tumor cells, which inhibited activation of CD4+ T-cells and led to immune escape. Pathway analysis indicated that the transforming growth factor (TGF)-ß1/SMAD3-mediated repression of tsMHCII, which could be reversed by BRAF inhibition (BRAFi). Targeting this pathway with a combined therapy of BRAF inhibitor PLX4032 and anti-PD-1 antibody efficiently blocked tumor growth by increasing CD4+ T-cell infiltration in a transgenic PTC mouse model. CONCLUSIONS: Our results suggest that BRAFV600E mutation in PTC impairs the expression of tsMHCII through the TGF-ß1/SMAD3 pathway to enhance immune escape. Combined treatment with PLX4032 and anti-PD-1 antibody promotes recognition and elimination of PTC by the immune system in a pre-clinical mouse model, and therefore offers an effective therapeutic strategy for patients with advanced PTC.

13.
Environ Pollut ; 268(Pt B): 115936, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33158614

RESUMO

Converting biowaste into value-added products has raised the researchers' interests. In this study, bioconversion was applied to produce chain acids from food waste by anaerobic fermentation. To improve the caproic acid production, different pretreatments (i.e., ultrasonic, hydrothermal, and alkaline-thermal) were used for investigating their effects on the acidogenic production and microbial communities. The results showed that ultrasonic and hydrothermal pretreatments (207.8 and 210.1 mg COD/g VS, respectively) were very efficient for enhancing the caproic acid production, compared to the alkaline-thermal pretreated samples and control samples (72.6 and 97.5 mg COD/g VS, respectively). The ultrasonic pretreatment was beneficial for reducing volatile fatty acids (VFAs) during the caproic acid production, resulting in converting more lactic acid to caproic acid by adding the hydrothermal pretreatment. The microbial community analysis showed that the acidogenic bacteria Caproiciproducens dominated the fermentation in this bioconversion process of food waste into chain acids. The Caproiciproducens mainly degraded the proteins and carbohydrates from the saccharified residues of food waste to produce caproic acids through chain elongation procedure. The investigation and optimized method may help develop the bioconversion technology for producing VFAs products from food wastes.


Assuntos
Alimentos , Eliminação de Resíduos , Anaerobiose , Fermentação , Concentração de Íons de Hidrogênio , Esgotos , Ultrassom
14.
IMA Fungus ; 11(1): 26, 2020 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-33292749

RESUMO

In the present study, the complete mitogenome of Clavaria fumosa, was sequenced, assembled, and compared. The complete mitogenome of C. fumosa is 256,807 bp in length and is the largest mitogenomes among all Basidiomycota mitogenomes reported. Comparative mitogenomic analysis indicated that the C. fumosa mitogenome contained the most introns and intronic ORFs among all fungal mitogenomes. Large intergenic regions, intronic regions, accumulation of repeat sequences and plasmid-derived genes together promoted the size expansion of the C. fumosa mitogenome. In addition, the rps3 gene was found subjected to positive selection between some Agaricales species. We found frequent intron gain/loss events in Agaricales mitogenomes, and four novel intron classes were detected in the C. fumosa mitogenome. Large-scale gene rearrangements were found occurred in Agaricales species and the C. fumosa mitogenome had a unique gene arrangement which differed from other Agaricales species. Phylogenetic analysis for 76 Basidiomycetes based on combined mitochondrial gene sets indicated that mitochondrial genes could be used as effective molecular markers for reconstructing evolution of Basidiomycota. The study served as the first report on the mitogenomes of the family Clavariaceae, which will promote the understanding of the genetics, evolution and taxonomy of C. fumosa and related species.

15.
Medicine (Baltimore) ; 99(52): e23465, 2020 Dec 24.
Artigo em Inglês | MEDLINE | ID: mdl-33350729

RESUMO

ABSTRACT: Survival heterogeneity is observed among renal cell carcinoma (RCC) patients with metastases in different organs. Moreover, almost all previous prognostic nomograms based on data from metastatic RCC patients did not take competing events, such as death from cerebrovascular and heart diseases, into account. We aimed to construct novel prognostic nomograms for patients with lung metastatic clear cell RCC (LMCCRCC).Data of 712 non-Hispanic white LMCCRCC patients registered in the Surveillance, Epidemiology, and End Results database were retrospectively analyzed. Nomograms for predicting overall survival (OS) and disease-specific survival (DSS) were established using the Cox approach and Fine and Gray approach, respectively, and their performances were assessed using the concordance index (C-index), calibration plots, and an independent cohort comprising 181 Hispanic patients.Sex, tumor grade, T stage, N stage, presence or absence of bone metastases, and presence or absence of brain metastases were independent predictors for both OS and DSS. Additionally, presence or absence of liver metastases was an independent predictor only for DSS. Meanwhile, age at diagnosis was independently associated with OS. The C-indexes of the nomograms were 0.702 for OS and 0.723 for DSS in internal validation. In external validation, the C-indexes were 0.700 for OS and 0.708 for DSS. Both internal and external calibration plots showed excellent consistency between the prediction and the observation.The current study developed a novel nomogram for predicting individual OS in LMCCRCC patients. Moreover, we constructed an effective competing risk nomogram for predicting their individual DSS for the first time.


Assuntos
Carcinoma de Células Renais/mortalidade , Carcinoma de Células Renais/secundário , Neoplasias Renais/mortalidade , Neoplasias Renais/patologia , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/secundário , Nomogramas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Taxa de Sobrevida
16.
J Int Med Res ; 48(12): 300060520977634, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33327831

RESUMO

OBJECTIVE: To investigate the value of a notched unipolar electrogram (N-uniEGM) in confirming the origin of premature ventricular contractions originating from the ventricular outflow tract (VOT-PVC) during mapping and ablation procedures. METHODS: This retrospective study enrolled consecutive patients with symptomatic idiopathic frequent VOT-PVCs that underwent radiofrequency ablation. The characteristics of the uniEGM of the successful ablation targets were analysed. N-uniEGM was defined as the uniEGM presenting a QS morphology with ≥1 steep notches on the downstroke deflection. All patients were followed-up for 3 months post-ablation. RESULTS: The study enrolled 190 patients with a mean ± SD age of 49.0 ± 15.3 years. N-uniEGMs were recorded in 124 of 190 (65.3%) patients. The N-uniEGM distribution area was limited to a mean ± SD of 0.8 ± 0.4 cm2. N-uniEGM showed consistency with the outcomes of activation mapping and pace mapping. Patients with an N-uniEGM had an ablation success rate of 98.4% (122 of 124) and their ablation times were significantly shorter than those without an N-uniEGM (7.6 ± 3.8 s versus 15.8 ± 8.8 s, respectively). The sensitivity and specificity of N-uniEGM in predicting successful ablation of VOT-PVCs were 72.6% and 91.7%, respectively. CONCLUSION: N-uniEGM was a highly specific and moderately sensitive predictor of successful radiofrequency ablation in patients with VOT-PVCs.

17.
Clin Nutr ; 2020 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-33380357

RESUMO

BACKGROUND & AIMS: Iron is an essential trace element to almost all organism, and the delicate balance between host defend system and viral proliferation plays an important role in infective conditions. While the association of the iron metabolism with the prognosis of COVID-19 remains poorly understood. We aimed to estimate the associations of systemic iron metabolism parameters with the severity and risks of adverse outcomes in COVID-19. METHODS: In this retrospective cohort study, we included 158 confirmed COVID-19 patients in Tongji Hospital, Wuhan, China (27 January to 5 April, 2020). Demographic data, comorbidities, laboratory examinations, treatments, and clinical outcomes were all collected. Multivariable Poisson regression was used to estimate the association of iron parameter levels with the severity and risks of adverse outcomes in COVID-19 patients. RESULTS: We identified 60 (38%) severe cases in 158 COVID-19 patients. The median age was 63 years (interquartile range [IQR]: 54-73) and the median length of hospital stay was 28 days (IQR: 17-40). After adjusting for age, sex, IL-6, and pre-existing comorbidities, all iron parameters were associated with the severity of COVID-19 with adjusted risk ratio of 0.42 [95% CI: 0.22-0.83], 4.38 [95% CI: 1.86-10.33], 0.19 [95% CI: 0.08-0.48], and 0.25 [95% CI: 0.10-0.58] for serum iron, ferritin, transferrin, and total iron-binding capacity, respectively. These iron indices were also related to the risk of ARDS, coagulopathy, acute cardiac injury, acute liver injury, and acute kidney injury in COVID-19 patients and high cytokine concentrations. CONCLUSIONS: Patients with low serum iron status likely suffered from severe condition and multiple-organ injury in COVID-19. The iron metabolism parameters might be risk factors and clinical biomarkers for COVID-19 prognosis.

18.
ACS Sens ; 2020 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-33351601

RESUMO

Intercellular communication plays a pivotal role in multicellular organisms. Studying the electrical and mechanical coupling among multiple cells has been a difficult task due to the lack of suitable techniques. In this study, we developed a label-free imaging method for monitoring the electrical-induced communications between connected cells. The method was based on monitoring subtle mechanical motions of the cells under electrical modulation of the membrane potential. We observed that connected cells responded to electrical modulation of neighboring cells with mechanical deformation of the membrane. We further investigated the mechanism of the coupling and confirmed that this mechanical response was induced by electrical signal communicated through the gap junction. Blocking the gap junction can temporally cease the mechanical signal, and this inhibition can be rescued after removing the inhibitor. This study sheds light on the mechanism of electrical coupling between neurons and provides a new method for studying intercellular communications.

19.
Andrology ; 2020 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-33289965

RESUMO

BACKGROUND: A predictive model for acquired premature ejaculation (APE) in PE patients has not yet been established. OBJECTIVES: This study was aimed at determining which factors were independently associated with the possibility of predicting APE in PE patients, and whether an effective pre-treatment nomogram for predicting their individual chances of being APE in PE patients can be developed. MATERIALS AND METHODS: We analyzed the medical histories of 915 PE patients diagnosed at Xijing Hospital (Xi'an, China) and Northwest Women's and Children's Hospital (Xi'an, China) between May 2019 and May 2020. The diagnostic nomogram was developed using a multivariate logistic regression model by integrating selected significant variables determined through univariate analysis. Receiver operating characteristic curves were used to measure the predictive accuracy of the nomogram and its constituted variables, and calibrations were performed by making a comparison of nomogram-predicted probability with actual rate of APE. RESULTS: The independent predictors for APE that were identified include Age, Intra-vaginal Ejaculation Latency Time (IELT), Frequency of sexual desire (FSD), and Eysenck Personality Questionnaire-Revised Short Scale for Chinese (psychoticism) [EPQ-RSC(P)] scores. The predictive accuracy of the nomogram was 0.782 (95% CI: 0.723-0.841). Also, excellent agreement was demonstrated between the nomogram-predicted probability and the actual rate of APE. DISCUSSION AND CONCLUSION: We identified 4 independent predictors for APE and demonstrated the potential significant differences in psychoticism between LPE and APE patients. This was the first internally validated predictive APE nomogram where good discrimination and calibration were applied, and it offers a promising role in clinical practice. More studies are necessary for verification of its universal applicability.

20.
PeerJ ; 8: e9675, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33194342

RESUMO

Objective: To explore the relationship between body mass index (BMI) and clinicopathological characteristics in patients with papillary thyroid carcinoma (PTC). Methods: The clinical data of 1,579 patients with PTC, admitted to our hospital from May 2016 to March 2017, were retrospectively analyzed. According to the different BMI of patients, it can be divided into underweight recombination (BMI < 18.5 kg/m), normal body recombination (18.5 ≤ BMI < 24.0 kg/m2), overweight recombination (24.0 ≤ BMI < 28.0 kg/m2) and obesity group (BMI ≥ 28.0 kg/m2). The clinicopathological characteristics of PTC in patients with different BMIs group were compared. Results: In our study, the risk for extrathyroidal extension (ETE), advanced T stage (T III/IV), and advanced tumor-node-metastasis stage (TNM III/IV) in the overweight group were higher, with OR (odds ratio) = 1.99(1.41-2.81), OR = 2.01(1.43-2.84), OR = 2.94(1.42-6.07), respectively, relative to the normal weight group. The risk for ETE and T III/IV stage in the obese group were higher, with OR = 1.82(1.23-2.71) and OR = 1.82(1.23-2.70), respectively, relative to the normal weight group. Conclusion: BMI is associated with the invasiveness of PTC. There is a higher risk for ETE and TNM III/IV stage among patients with PTC in the overweight group and for ETE among patients with PTC in the obese group.

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