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1.
Int J Cancer ; 2022 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-36094042

RESUMO

Whether ultra-processed food consumption is associated with the risk of pancreatic cancer has not been determined. We performed a prospective study to fill this gap. A population-based cohort of 98265 American adults was identified from the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial. Ultra-processed foods were defined by the NOVA classification. Cox regression was used to estimate hazard ratios (HRs) for pancreatic cancer incidence. Subgroup analysis was performed to identify the potential effect modifiers. During a mean follow-up of 8.86 years, 387 pancreatic cancer cases occurred. High consumption of ultra-processed foods was found to be associated with an increased risk of pancreatic cancer [fully adjusted HRquartile4 vs. 1 : 1.49; 95% confidence interval (CI): 1.07, 2.07; Ptrend =0.021] in a linear dose-response manner (Pnonlinearity =0.075). Subgroup analysis further found that the positive association of ultra-processed food consumption with the risk of pancreatic cancer was more pronounced in subjects aged <65 years (HRquartile4 vs. 1 : 2.17; 95% CI: 1.14, 4.15) than in those with aged ≥65 years (HRquartile4 vs. 1 : 1.32; 95% CI: 0.88, 1.94), though the interaction test failed to achieve the statistical significance (Pinteraction =0.061). These findings suggest that reducing ultra-processed food consumption may be beneficial in decreasing pancreatic cancer incidence. This article is protected by copyright. All rights reserved.

2.
Nanoscale Adv ; 4(14): 3023-3032, 2022 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-36133511

RESUMO

We systematically investigate the transport properties of monolayer arsenene tunneling field-effect transistors (TFETs) along the armchair and zigzag directions using first-principles calculations based on density functional theory (DFT) combined with the non-equilibrium Green's function (NEGF) approach. We introduce five types of defects at the source-channel interface and study their influences on the device performance. The pristine arsenene TFETs along the armchair direction have large ON-state currents due to the small effective masses, but still cannot meet the International Technology Roadmaps of Semiconductor 2022 (ITRS 2022) requirements for high performance (HP) devices. The adsorption of one and two H atoms can significantly enhance the ON-state currents to above 1412 µA µm-1 and reduce subthreshold swing (SS) to below 60 mV decade-1 for both n- and p-type devices, satisfying the ITRS 2022 requirements for HP devices. Besides, the p-type As and the n-type Li adatoms can improve the performance of p-type and n-type devices, respectively. The pristine arsenene TFETs along the zigzag direction with low ON-state currents already meet the ITRS 2022 requirements for low-power (LP) devices. The performance of the p-type TFETs as LP devices can be improved by p-type SV and the As adatom by increasing the ON-state currents and/or reducing the SS. On the other hand, the adsorption of one H adatom can remarkably increase the ON-state current of the p-type TFET to 1563 µA µm-1 and reduce SS to 34 mV decade-1, allowing the device to work as an HP device. We further confirm that the enhancement of the ON-state currents is due to the shortening of the band-to-band tunneling path through the defect induced gap states. Our calculations provide a theoretical guide to improve the performance of TFETs based on arsenene or other monolayer materials by suitable defects.

3.
JAMA Netw Open ; 5(9): e2231869, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-36112377

RESUMO

Importance: Transvaginal mesh (TVM) can increase the durability of vaginal surgical procedures for pelvic organ prolapse (POP) and may be indicated in certain situations despite concerns about mesh-related complications. In addition, the expense of commercial mesh kits has limited their use. The effectiveness, safety, and cost of a self-cut mesh procedure compared with a commercial mesh-kit procedure for the surgical treatment of women with POP is unclear. Objective: To assess the 1-year effectiveness and safety of self-cut titanium-coated polypropylene mesh compared with a precut commercial mesh kit for the transvaginal surgical treatment of women with severe symptomatic POP. Design, Setting, and Participants: This multicenter randomized noninferiority clinical trial was conducted at 11 hospitals in 8 provinces of China. A total of 336 women with symptomatic stage 3 to 4 POP were enrolled between January 22, 2018, and November 11, 2019, with follow-up through December 11, 2020. Interventions: Participants were randomized to receive a TVM procedure using either self-cut mesh (self-cut mesh group) or a precut commercial mesh kit (mesh-kit group), both of which used the same titanium-coated polypropylene mesh. Main Outcomes and Measures: The primary outcome measure was composite surgical success at 1 year, which was defined as the absence of vaginal bulge symptoms, no additional retreatment for POP, and no vaginal prolapse at or beyond the hymen. Secondary outcomes included symptom-specific pelvic floor function and quality-of-life measures as well as perioperative complications, including mesh-related complications and hospitalization costs. Complications were categorized using the Clavien-Dindo system (with grade 1 indicating any deviation from the normal postoperative course but not requiring grade 2-4 interventions; grade 2, need for pharmacological treatment, blood transfusion, and/or total parenteral nutrition; grade 3, the need for surgical, endoscopic, and/or interventional radiological procedures; and grade 4, life threatening). Results: Among 336 female participants (mean [SD] age, 63.3 [5.9] years; all of Chinese ethnicity), 169 patients were randomized to the self-cut mesh group, and 167 were randomized to the mesh-kit group. Three patients were unavailable for follow-up after 1 year. In the intention-to-treat analysis, 162 women (95.9%) in the self-cut mesh group had outcomes that met the definition of surgical success; this result was noninferior to the surgical success rate observed in the mesh-kit group (146 women [87.4%]; risk difference, 8.5%; 95% CI, 2.2%-14.3%; P = .006). The frequency of Clavien-Dindo grade 1 to 3 perioperative complications was not significant between groups (12 of 166 women [7.2%] in the self-cut mesh group vs 20 of 161 women [12.4%] in the mesh-kit group; P = .14). Vaginal mesh exposure rates in women examined at 1 year were similar (4 women [2.4%] in the self-cut mesh group vs 8 women [4.8%] in the mesh-kit group; P = .23). Median (IQR) total hospitalization costs were $3663.00 ($3258.90-$4495.10) in the self-cut mesh group vs $6144.00 ($5434.90-$7160.20) in the mesh-kit group (P < .01), representing savings of $2481.00 (40.4%) with the use of self-cut mesh. Conclusions and Relevance: In this clinical trial, the composite surgical success rate of a self-cut mesh procedure was noninferior to that of a commercial mesh-kit procedure using the same titanium-coated polypropylene mesh and reduced hospitalization expenses by 40.4%. These findings suggest that the use of self-cut mesh procedures may be advantageous for the surgical treatment of some women with severe POP, particularly those in countries with low and middle income. Trial Registration: ClinicalTrials.gov identifier: NCT03283124.


Assuntos
Prolapso de Órgão Pélvico , Polipropilenos , Feminino , Humanos , Pessoa de Meia-Idade , Prolapso de Órgão Pélvico/cirurgia , Telas Cirúrgicas , Titânio , Resultado do Tratamento
4.
Artigo em Inglês | MEDLINE | ID: mdl-36078185

RESUMO

Changes in the territorial pattern of the Beibu Gulf, an environmentally sensitive and ecologically fragile area in China, will directly or indirectly affect the regional ecological environment, while profoundly influencing economic development and human well-being. Therefore, it is significant to understand the ecological response in the process of territorial space changes in the Beibu Gulf to promote the coordination between sea and land and sustainable regional development. This paper used remote sensing image interpretation to generate land-use maps in 2000, 2010 and 2020, and then analyzed the spatial and temporal evolution of the territorial pattern of the Beibu Gulf from 2000 to 2020. Finally, this paper proposed a comprehensive carrying capacity evaluation system and explored the spatial functional zones of the coastal areas of the Beibu Gulf. The results showed that the demand for urban development and ecological protection between 2000 and 2020 increased built-up land and forestland by 386.71% and 25.56%, respectively, and reduced farmland by 28.33%. There was significant spatial heterogeneity in various land-use types. Where forestland is mainly distributed in the west, farmland is mainly distributed in the east, wetland is mainly distributed in the south, and orchards are spread throughout the whole area. The evaluation results of land resources, water resources and ecological conditions in the Beibu Gulf area showed that its comprehensive carrying capacity was high in the south and low in the north, and high in the west and low in the east. On this basis, this paper considered the actual situation of natural resources, ecological conditions, socio-economic development, protection and development in coastal areas; divided the study area into four categories: developed areas, priority development areas, ecological reserve areas and coastal reserve areas; and put forward corresponding control suggestions. The results of this paper could provide a scientific basis for regional development and territorial spatial planning in the coastal areas.


Assuntos
Conservação dos Recursos Naturais , Áreas Alagadas , China , Desenvolvimento Econômico , Ecossistema , Humanos , Desenvolvimento Sustentável
6.
Pediatr Neurosurg ; 2022 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-35998561

RESUMO

INTRODUCTION: Middle fossa arachnoid cyst (MFAC) is one of the most common cranial cysts in children, and the various postoperative complications following cyst fenestration represent a major concern. We conducted a retrospective study in our department and performed a systematic review of the literature to identify the risk factors for complications. METHODS: A retrospective survey was conducted on 38 patients with MFAC (< 14 years) who underwent microscopic fenestration from January 2019 to December 2020. Postoperative complications, including postoperative hemorrhage/hematoma, subdural hygroma (SH), cranial nerve palsy, central nervous system infection (PCNSI), and cerebrospinal fluid (CSF) leak, were collected. A systematic PubMed search for cohort studies on surgically treated MFAC published after 1980 was performed. The postoperative complications in the included studies were illustrated. RESULTS: The overall complication rate in our series was 7.9%, among whom, nine patients (23.7%) developed postoperative SH, one of which required cyst-peritoneal shunting. Patients who developed SH were significantly younger (4.0 ± 1.8 vs 6.3 ± 3.4 years, p = 0.012). Binary logistic analysis showed that a lower age could be a risk factor for developing SH (odds ratio: 0.738, p = 0.067). One patient developed a subdural hematoma. No cranial nerve palsy or CSF leak was observed. Eighteen studies were included in the systematic review, comprising 649 cases of MFAC. The most common complication was SH (4.9%), and the postoperative complication rates were similar between the microscopic and endoscopic techniques. CONCLUSION: The complication rate of MFAC fenestration is considerable. SH is the most common postoperative complication, and it mostly occurs in young children. Strict surgical indications should be applied for young children.

7.
Proc Natl Acad Sci U S A ; 119(36): e2207422119, 2022 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-36037384

RESUMO

Understanding the physical principle that governs the stimuli-induced swelling and shrinking kinetics of hydrogels is indispensable for their applications. Here, we show that the shrinking and swelling kinetics of self-healing hydrogels could be intrinsically asymmetric. The structure frustration, formed by the large difference in the heat and solvent diffusions, remarkably slows down the shrinking kinetics. The plateau modulus of viscoelastic gels is found to be a key parameter governing the formation of structure frustration and, in turn, the asymmetric swelling and shrinking kinetics. This work provides fundamental understandings on the temperature-triggered transient structure formation in self-healing hydrogels. Our findings will find broad use in diverse applications of self-healing hydrogels, where cooperative diffusion of water and gel network is involved. Our findings should also give insight into the molecular diffusion in biological systems that possess macromolecular crowding environments similar to self-healing hydrogels.


Assuntos
Hidrogéis , Temperatura , Difusão , Hidrogéis/química , Cinética , Água/química
8.
J Microbiol ; 60(10): 977-985, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35984616

RESUMO

Two strictly aerobic, Gram-staining-positive, non-spore-forming, regular rod-shaped (approximately 0.7 × 1.9 mm) bacteria (HY170T and HY001) were isolated from bat feces collected from Chongzuo city, Guangxi province (22°20'54″N, 106°49'20″E, July 2011) and Chuxiong Yi Autonomous Prefecture, Yunnan province (25°09'10″N, 102°04'39″E, October 2013) of South China, respectively. Optimal growth is obtained at 25-28°C (range, 4-32°C) on BHI-5% sheep blood plate with pH 7.5 (range, 5.0-10.0) in the presence of 0.5-1.0% NaCl (w/v) (range, 0-15% NaCl [w/v]). The phylogenetic and phylogenomic trees based respectively on the 16S rRNA gene and 845 core gene sequences revealed that the two strains formed a distinct lineage within the genus Brevibacterium, most closely related to B. aurantiacum NCDO 739T (16S rRNA similarity, both 98.5%; dDDH, 46.7-46.8%; ANI, 91.9-92.1%). Strain HY170T contained MK-8(H2), diphosphatidylglycerol (DPG) and phosphatidylglycerol (PG), galactose and ribose as the predominant menaquinone, major polar lipids, and main sugars in the cell wall teichoic acids, respectively. The meso-diaminopimelic acid (meso-DAP) was the diagnostic diamino acid of the peptidoglycan found in strain HY170T. Anteiso-C15:0 and anteiso-C17:0 were the major fatty acids (> 10%) of strains HY170T and HY001, with anteiso-C17:1A predominant in strain HY170T but absent in strain HY001. Mining the genomes revealed the presence of secondary metabolite biosynthesis gene clusters encoding for non-alpha poly-amino acids (NAPAA), ectoine, siderophore, and terpene. Based on results from the phylogenetic, chemotaxonomic and phenotypic analyses, the two strains could be classified as a novel species of the genus Brevibacterium, for which the name Brevibacterium zhoupengii sp. nov. is proposed (type strain HY170T = CGMCC 1.18600T = JCM 34230T).


Assuntos
Actinobacteria , Brevibacterium , Quirópteros , Actinobacteria/genética , Animais , Técnicas de Tipagem Bacteriana , Composição de Bases , Cardiolipinas/análise , China , DNA Bacteriano/genética , Ácido Diaminopimélico/análise , Ácidos Graxos/análise , Fezes/química , Galactose , Genômica , Peptidoglicano/química , Fosfolipídeos/análise , Filogenia , RNA Ribossômico 16S/genética , Ribose , Análise de Sequência de DNA , Ovinos , Sideróforos , Cloreto de Sódio/análise , Ácidos Teicoicos , Vitamina K 2/análise
9.
Front Nutr ; 9: 889303, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35958255

RESUMO

Background and aims: Whether fried food consumption is associated with the risk of pancreatic cancer remains elusive. We aimed to examine this association in a US population. Methods: A population-based cohort of 101,729 US adults was identified. Fried food consumption was assessed with a validated food frequency questionnaire. Hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated. Explanatory analyses were conducted to identify main contributor(s) to the observed association. Results: During an average follow-up of 8.86 years (900871.2 person-years), 402 pancreatic cancer cases occurred. High consumption of total fried foods (deep-fried plus pan-fried foods; HRquartile4 vs. 1 0.71, 95% CI 0.51-0.99, P trend = 0.047) and deep-fried foods (HRquartile 4 vs. 1 0.64, 95% CI 0.47-0.88, P trend = 0.011), but not pan-fried foods (HRquartile 4 vs. 1 0.98, 95% CI 0.73-1.32; P trend = 0.815), was found to be associated with a reduced risk of pancreatic cancer in a non-linear dose-response manner, which was not modified by predefined stratification factors and persisted in sensitivity analyses. In explanatory analyses, only chip consumption was found to be inversely associated with the risk of pancreatic cancer; consistently, the initial significant associations between total fried food and deep-fried food consumption and the risk of pancreatic cancer changed to be non-significant after omitting or further adjusting for chip consumption. Conclusion: Consumption of deep-fried foods, but not pan-fried foods, is inversely associated with the risk of pancreatic cancer in this US population. The role of deep-fried foods in reducing the risk of pancreatic cancer appears to be mainly attributable to chips. More studies are needed to confirm our findings in other populations and settings.

10.
Ann Gastroenterol Surg ; 6(4): 543-554, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35847430

RESUMO

Background: The recurrence of bile duct stones is a long-term outcome for patients undergoing laparoscopic common bile duct exploration (LCBDE) that is worthy of attention. This study aimed to investigate long-term risk factors for stones recurrence after LCBDE and develop a nomogram for predicting the risk. Methods: The clinical data on consecutive patients with bile duct stones undergoing LCBDE at Shanghai Tenth People's Hospital between January 2014 and February 2019 with a follow-up period longer than 2 years were reviewed. Independent risk factors of stones recurrence identified by the Cox regression model were used to develop a nomogram in predicting stones recurrence after LCBDE. Results: Eight hundred and twenty-two patients were eventually included in this study. Of these patients, 42 (5.11%) developed stones recurrence. The cumulative incidences of stones recurrence at 1, 3, and 5 years after LCBDE were 1.34%, 4.36%, and 7.14%, respectively. Independent risk factors of stones recurrence were identified to be age (HR = 1.04, 95% CI = 1.02-1.07), T-tube drainage (HR = 3.28, 95% CI = 1.23-8.72), fatty liver (HR = 2.69, 95% CI = 1.39-5.20), urinary calculus (HR = 4.68, 95% CI = 2.29-9.56), post-cholecystectomy (HR = 5.21, 95% CI = 2.39-11.33), and post-ERCP + EST (HR = 2.87, 95% CI = 1.18-6.96). By these factors, a developed nomogram showed a C-index of 0.770 to predict stones recurrence. Conclusions: The nomogram, based on identified risk factors, showed good accuracy for predicting stones recurrence, which is valuable to guide these patients' follow-up and prevention.

11.
Chemosphere ; 307(Pt 2): 135793, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35872056

RESUMO

Municipal solid waste incineration (MSWI) fly ash and electrolytic manganese residue (EMR) were classified as hazardous waste, must be harmlessly processed prior to subsequent treatment or disposal. The competition between massive free manganese ions of raw EMR and other heavy metals was found, thus raw EMR was pretreated by calcining to eliminate competition of manganese with other heavy metals for stabilizer complexation. MSWI fly ash was successfully solidified with 6% NaH2PO4, 6% H2NCSNH2 and 20% sintered EMR (800 °C). The addition of sintered EMR enhanced solidification/stabilization of heavy metals in fly ash and the resulting product had a higher compressive strength for further reutilization like trench backfilling, structural fill and void filling. The stabilization/solidification mechanism of heavy metals was attributed to the combined interaction of heavy metal precipitation in stabilizers and ion exchange or physical encapsulation in silicate compounds like calcium silicate, which is a feasible and valuable approach to co-disposal of MSWI fly ash and EMR.


Assuntos
Metais Pesados , Eliminação de Resíduos , Carbono/química , Cinza de Carvão/química , Resíduos Perigosos , Incineração , Íons , Manganês , Metais Pesados/análise , Material Particulado , Eliminação de Resíduos/métodos , Resíduos Sólidos/análise
12.
J Org Chem ; 87(15): 9576-9592, 2022 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-35820108

RESUMO

A simple and efficient two-step method for the construction of novel 2,4,9a-trisubstituted-4a,9a-dihydroindeno[2,1-d][1,3]oxazin-9-ones has been developed. The NHC-catalyzed aza-benzoin reaction of o-alkenyl benzaldehydes with N-acylarylimines afforded 1-(o-alkenylaryl)-2-amido-2-aryl-1-ethanones, which underwent regioselective 5-exo-trig radical cyclization to furnish the three-ring-fused heterocyclic products, generally in good yields. The synthetic method displayed good tolerance toward the nature of substituents, substitution pattern, and steric hindrance of o-alkenyl benzaldehydes. Based on this method, the synthesis of unprecedented dihydrobenzo[6,7]indeno[2,1-d][1,3]oxazin-7-ones and dihydropyrido[2',3':3,4]cyclopenta[1,2-d][1,3]oxazin-9-ones has been achieved by employing o-alkenylnaphthaldehyde and o-alkenylnicotinaldehyde as substrates. The regioselectivity between 5-exo-trig and 6-endo-trig radical cyclization reactions of different 1-(o-alkenylaryl)-2-amido-2-aryl-1-ethanones were elucidated with DFT calculations.


Assuntos
Benzaldeídos , Cetonas , Ciclização , Modelos Teóricos , Estrutura Molecular
13.
Sci Total Environ ; 847: 157607, 2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-35901883

RESUMO

In this study, we explored the source-sink characteristics of methyl halide (CH3X; X = Cl, Br, I) in coastal wetlands located in temperate regions, and identified key factors affecting the spatio-temporal variation of CH3X during the invasion of Spartina alterniflora. We used static chamber-gas chromatography to monitor CH3X fluxes in the S. alterniflora area and bare flat area of the Jiaozhou Bay salt marsh for a long time from August 2015 to May 2017. Our results indicated that CH3X emissions showed obvious seasonal and diurnal variations. The S. alterniflora area was a source of CH3X, with higher fluxes in the spring and autumn seasons. CH3X fluxes were higher during the daytime than at night, and the diurnal difference in CH3Br was the most significant (4.51 times). The bare flat area was mainly a sink for CH3X, and the maximum absorption flux occurred in summer. At this time, the microbial activity was greater, and the consumption rate during the day was higher than that at night. Extreme linear correlations existed between the fluxes of CH3Cl, CH3Br, and CH3I (P < 0.01), indicating that the production and consumption of the three gases were likely to have similar mechanisms and were affected by the same factors. S. alterniflora invasion increased CH3X emissions and shifted the original bare flat area from a sink to a source of CH3X. The biomass of S. alterniflora, especially the leaf, significantly affects CH3X fluxes. Additionally, S. alterniflora increased the content of total organic carbon, total sulfur, available sulfur, and iron (III) in the soil, which were the main factors promoting the source-sink transformation of CH3X. Based on the current invasive area of S. alterniflora in China, we estimated that the annual emissions of CH3Cl, CH3Br, and CH3I from S. alterniflora into the troposphere were 9.04 × 106, 2.42 × 105 and 2.06 × 105 mol, respectively.


Assuntos
Espécies Introduzidas , Áreas Alagadas , Carbono , China , Gases , Ferro , Poaceae , Solo/química , Enxofre
14.
J Mater Chem B ; 2022 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-35766427

RESUMO

Tuning the self-assembled structures in amorphous hydrogels will enrich the functionality of hydrogels. In this study, we tuned the structure of a photonic hydrogel, which consists of polymeric lamellar bilayers entrapped inside a polyacrylamide network, simply by molecular triggering using an ionic surfactant. Owing to the binding of ionic surfactants (sodium dodecyl sulfate), the lamellar bilayers comprising non-ionic polymeric surfactants [poly(dodecyl glyceryl itaconate)] changed to micelles, whereas the unidirectional lamellar structure was preserved in the hydrogel. The bilayer-micelle structure transition caused a dramatic decrease in the swelling anisotropy and mechanical softening of the photonic gel. With the micelle structure, the softened gel shows fast (0.3 s) and reversible color change over the entire visible light range in response to a small mechanical pressure (5 kPa). This low stress-induced color-changing hydrogel could be applied as a visual tactile sensor in various fields, especially in biomedical engineering.

16.
BMC Pediatr ; 22(1): 321, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35650566

RESUMO

BACKGROUND: Studies on cognition and brain networks after various forms of brain injury mainly involve traumatic brain injury, neurological disease, tumours, and mental disease. There are few related studies on surgical injury and even fewer pediatric studies. This study aimed to preliminarily explore the cognitive and brain network changes in children with focal, unilateral, well-bounded intracranial space-occupying lesions (ISOLs) in the short term period after surgery. METHODS: We enrolled 15 patients (6-14 years old) with ISOLs admitted to the Department of Pediatric Neurosurgery of the Beijing Tiantan Hospital between July 2020 and August 2021. Cognitive assessment and resting-state functional magnetic resonance imaging (rs-fMRI) were performed. Regional homogeneity (Reho), seed-based analysis (SBA) and graph theory analysis (GTA) were performed. Paired T-test was used for statistical analysis of cognitive assessment and rs-fMRI. Gaussian random-field theory correction (voxel p-value < 0.001, cluster p-value < 0.05) was used for Reho and SBA. False discovery rate correction (corrected p value < 0.05) for GTA. RESULTS: Our results showed that psychomotor speed decreased within three months after surgery. Further, rs-fMRI data analysis suggested that sensorimotor and occipital network activation decreased with low information transmission efficiency. CONCLUSION: We prudently concluded that the changes in cognitive function and brain network within three months after surgery may be similar to ageing and that the brain is vulnerable during this period.


Assuntos
Lesões Encefálicas Traumáticas , Imageamento por Ressonância Magnética , Adolescente , Encéfalo/fisiologia , Criança , Cognição , Humanos , Complicações Intraoperatórias , Imageamento por Ressonância Magnética/métodos
17.
Front Oncol ; 12: 881815, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35669421

RESUMO

Background: Superficial duodenal epithelial lesions are precancerous lesions of duodenal carcinoma. Upper gastrointestinal endoscopy has been widely used in the screening and treatment of this disease. This article will collect the data of patients who underwent endoscopic resection of superficial duodenal epithelial lesions in our hospital from 2010 to 2021, aiming to describe the efficacy and safety of endoscopic resection, as well as to explore the risk factors of non-en bloc resection and non-R0 resection. Methods: Patients who underwent endoscopic resection for superficial duodenal epithelial lesions in our hospital from January 2010 to September 2021 were selected. The curative effect was expressed by the en bloc resection rate and R0 resection rate. The safety was expressed by intra- or postoperative complications, such as bleeding and perforation. The potential risk factors of curative effect were analyzed by logistic regression. Results: A total of 137 patients were included. The en bloc resection rate was 95.62% (131/137), R0 resection rate was 91.97% (126/137), the postoperative bleeding rate was 2.19% (3/137), and no postoperative perforation was found. The histology result of ectopic gastric mucosa was the risk factor of non-en bloc resection (OR: 8.86, 95% CI: 1.38-56.92); the lesion size ≥2 cm was the risk factor of non-R0 resection (OR: 12.55, 95% CI: 2.95-53.38). Conclusion: Endoscopic resection is a safe and effective method for the treatment of superficial duodenal epithelial lesions. The histology result of ectopic gastric mucosa was the risk factor of non-en bloc resection and the lesion size ≥2 cm was the risk factor of non-R0 resection.

18.
Chin Neurosurg J ; 8(1): 11, 2022 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-35550659

RESUMO

BACKGROUND: To describe the epidemiological characteristics of central nervous system (CNS) tumors in children, based on the neurosurgery department of Beijing Tiantan Hospital. METHODS: From January 2015 to December 2019, 3180 children were histopathologically diagnosed with CNS tumors based on the 2016 World Health Organization (WHO) classification of tumors. Patients were 0 to 15 years old. We analyzed age-related gender preferences, tumor locations, and the histological grades of the tumors. In addition, the epidemiological characteristics of the five most common intracranial tumors were compared to the previous studies. RESULTS: In this study, intracranial and spinal tumors account for 96.4% (3066) and 3.6% (114) of all tumors, with a preponderance of supratentorial tumors (57.9%). Among all pediatric patients, low-grade tumors comprise 67.1% (2 135). The integral gender ratio of males to females is 1.47: 1 and the average age of patients is 7.59 years old. The five most common intracranial tumors are craniopharyngioma (15.4%), medulloblastoma (14.3%), pilocytic astrocytoma (11.8%), diffuse astrocytoma (9.8%), and anaplastic ependymoma (4.8%). CONCLUSIONS: Due to the lack of national data on childhood brain tumors, we used a large nationally representative population sample based on the largest pediatric neurosurgery center in China. We analyzed the data of the past 5 years, reflecting the incidence of CNS tumors in Chinese children to a certain extent, and laying a data foundation for subsequent clinical studies.

19.
BMC Nephrol ; 23(1): 191, 2022 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-35590283

RESUMO

AIM: The objective of this study was to evaluate the reported associations between the syndrome of inappropriate antidiuretic hormone secretion (SIADH) and a variety of proton pump inhibitors (PPI) through analysis of the reports extracted from the Food and Drug Administration Adverse Event Reporting System (FAERS). METHODS: FAERS reports from January 2004 to March 2020 were used to conduct disproportionality and Bayesian analyses. The definition of SIADH relied on the preferred terms provided by the Medical Dictionary for Regulatory Activities. The time to onset, mortality, and hospitalization rates of PPI-related SIADH were also investigated. RESULTS: The study identified a total of 273 reports of PPI-associated SIADH, which appeared to influence more elderly than middle-aged patients (71.1% vs. 12.5%). Women were more affected than men (48.7% vs. 41.8%). Rabeprazole had a stronger SIADH association than other PPIs based on the highest reporting odds ratio (reporting odds ratio = 13.3, 95% confidence interval (CI) = 7.2, 24.9), proportional reporting ratio (proportional reporting ratio = 13.3, χ2 = 113.7), and empirical Bayes geometric mean (empirical Bayes geometric mean = 13.3, 95% CI = 7.9). The median time to SIADH onset was 22 (interquartile range 6-692) days after PPI administration. PPI-associated SIADH generally led to a 2.95% fatality rate and a 79.7% hospitalization rate. The highest hospitalization death rate occurred in esomeprazole (91.2%). CONCLUSION: According to our findings, more attention should be paid to SIADH within the first several months after the administration of PPIs. For women older than 65 years, dexlansoprazole may reduce the incidence of PPI-associated SIADH. Nonetheless, larger epidemiological studies are suggested to verify this conclusion.


Assuntos
Síndrome de Secreção Inadequada de HAD , Sistemas de Notificação de Reações Adversas a Medicamentos , Idoso , Teorema de Bayes , Feminino , Humanos , Síndrome de Secreção Inadequada de HAD/induzido quimicamente , Síndrome de Secreção Inadequada de HAD/epidemiologia , Masculino , Pessoa de Meia-Idade , Farmacovigilância , Inibidores da Bomba de Prótons/efeitos adversos , Vasopressinas
20.
Artigo em Inglês | MEDLINE | ID: mdl-35627629

RESUMO

Human activities coupled with land-use change pose a threat to the regional ecological environment. Therefore, it is essential to determine the future land-use structure and spatial layout for ecological protection and sustainable development. Land use simulations based on traditional scenarios do not fully consider ecological protection, leading to urban sprawl. Timely and dynamic monitoring of ecological status and change is vital to managing and protecting urban ecology and sustainable development. Remote sensing indices, including greenness, humidity, dryness, and heat, are calculated annually. This method compensates for data loss and difficulty in stitching remote sensing ecological indices over large-scale areas and long time-series. Herein, a framework is developed by integrating the four above-mentioned indices for a rapid, large-scale prediction of land use/cover that incorporates the protection of high ecological quality zone (HEQZ) land. The Google Earth Engine (GEE) platform is used to build a comprehensive HEQZ map of the Wuhan Urban Agglomeration Area (WUAA). Two scenarios are considered: Ecological protection (EP) based on HEQZ and natural growth (NG) without spatial ecological constraints. Land use/cover in the WUAA is predicted over 2020-2030, using the patch-generating land use simulation (PLUS) model. The results show that: (1) the HEQZ area covers 21,456 km2, accounting for 24% of the WUAA, and is mainly distributed in the Xianning, Huangshi, and Xiantao regions. Construction land has the highest growth rate (5.2%) under the NG scenario. The cropland area decreases by 3.2%, followed by woodlands (0.62%). (2) By delineating the HEQZ, woodlands, rivers, lakes, and wetlands are well protected; construction land displays a downward trend based on the EP scenario with the HEQZ, and the simulated construction land in 2030 is located outside the HEQZ. (3) Image processing based on GEE cloud computing can ameliorate the difficulties of remote sensing data (i.e., missing data, cloudiness, chromatic aberration, and time inconsistency). The results of this study can provide essential scientific guidance for territorial spatial planning under the premise of ecological security.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , China , Cidades , Conservação dos Recursos Naturais/métodos , Florestas , Humanos
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