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1.
Cell Tissue Bank ; 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34115245

RESUMO

Decellularized nerve extracellular matrix (NECM) composited with chitosan are moldable materials suitable for spinal cord repair. But the rapid biodegradation of the materials may interrupt neural tissue reconstruction in vivo. To improve the stability of the materials, the materials produced by NECM and chitosan hydrogels were crosslinked by genipine, glutaraldehyde or ultraviolet ray. Physicochemical property, degradation and biocompatibility of materials crosslinked by genipin, glutaraldehyde or ultraviolet ray were evaluated. The scaffold crosslinked by genipin possessed a porous structure, and the porosity ratio was 89.07 + 4.90%, the average diameter of pore was 85.32 + 5.34 µm. The crosslinked degree of the scaffold crosslinked by genipin and glutaraldehyde was 75.13 ± 4.87%, 71.25 ± 5.06% respectively; Uncrosslinked scaffold disintegrated when immerged in distilled water while the scaffold crosslinked by genipin and glutaraldehyde group retained their integrity. The scaffold crosslinked by genipin has better water absorption, water retention and anti-enzymatic hydrolysis ability than the other three groups. Cell cytotoxicity showed that the cytotoxicity of scaffold crosslinked by genipin was lower than that crosslinked by glutaraldehyde. The histocompatibility of scaffold crosslinked by genipin was also better than glutaraldehyde group. More cells grew well in the scaffold crosslinked by genipin when co-cultured with L929 cells. The decellularized nerve extracellular matrix/chitosan scaffold crosslinked by the genipin has good mechanical properties, micro structure and biocompatibility, which is an ideal scaffold for the spinal cord tissue engineering.

2.
J BUON ; 26(2): 599-605, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34077011

RESUMO

PURPOSE: The purpose of this study was to observe the effects of micro ribonucleic acid (miR)-505-5p on the proliferation and apoptosis of osteosarcoma cells, and to further investigate its potential mechanism. METHODS: Human osteosarcoma U2-OS cell lines were divided into Control group, miR-505-5p nonsense sequence (NS) group and miR-505-5p inhibitor group. Subsequently, cell proliferation and apoptosis in each group were observed. Finally, the effect of miR-505-5p on the in vivo growth of osteosarcoma was explored by means of subcutaneous tumor formation assay. RESULTS: The expression of miR-505-5p in the cancer tissues was remarkably higher than in normal paracancer tissues of osteosarcoma patients. U2-OS cell lines cultured in vitro in miR-505-5p inhibitor group manifested notably weakened proliferative ability after transfection with miR-505-5p inhibitor. Colony formation assay showed that the number of colonies formed in miR-505-5p inhibitor group was obviously smaller than that in Control group. The results of Western blotting assay indicated that the inhibition of miR-505-5p markedly increased the expression of Bax and decreased Bcl-2 in cancer cells (p<0.05). Furthermore, it was revealed that the inhibited miR-505-5p could distinctly up-regulate the protein expression level of RASSF8 in cancer cells. Furthermore, the miR-505-5p inhibition was able to prominently repress the subcutaneous tumor formation ability of osteosarcoma cells. CONCLUSIONS: The expression level of miR-505-5p is raised significantly in the cancer tissues of osteosarcoma patients, and the inhibition of miR-505-5p can up-regulate RASSF8 to suppress the proliferation and promote the apoptosis of osteosarcoma cells.

3.
Front Public Health ; 9: 644536, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34095053

RESUMO

Background: To contain the pandemic of COVID-19, China has implemented a series of public health interventions that impacted the tuberculosis control substantially, but these impacts may vary greatly depending on the severity of the local COVID-19 epidemic. The impact of COVID-19 on TB control in Ningxia Hui Autonomous Region is little known. Methods: Based on the national TB Information Management System (TBIMS), this study accessed the actual impact of COVID-19 on TB by comparing TB notifications, pre-treatment delays, and clinical characteristics of TB cases between 2020 COVID-19 period and 2017-2019 baseline. The data were divided into three periods based on the response started to fight against COVID-19 in Ningxia Hui Autonomous Region, including the control period (10 weeks before the pandemic), intensive period (10 weeks during the Ningxia Hui Autonomous Region lockdown), and regular (10 additional weeks after Ningxia Hui Autonomous Region reopen). Results: TB notification dropped sharply in the first week of the intensive period but took significantly longer to return to the previous level in 2020 compared with the 2017-2019 baseline. Totally, the TB notification rates decreased by more than 60% in the intensive period of COVID-19 compared with the average level of 2017-2019. The sputum smear-positive rate of TB patients diagnosed in intensive period of COVID-19 was significantly higher than that in the corresponding periods of 2017-2019 (P < 0.001). The rate of cavity on X-ray inspection of TB cases diagnosed in the intensive period of COVID-19 was significantly higher than that in period 2 of 2017-2019 (23.5 vs. 15.4%, P = 0.004). The patients' delay in the intensive period was significantly longer than that before the pandemic (P = 0.047). Conclusions: The TB notification in Ningxia was impacted dramatically by the pandemic of COVID-19. To compensate for the large numbers of missed diagnosis as well as delayed diagnosis during the intensive period of COVID-19, an urgent restoration of normal TB services, and further emphasis on enhanced active case finding and scale-up of household contact tracing and screening for TB-related symptoms or manifestation, will be essential.


Assuntos
COVID-19 , Tuberculose , China/epidemiologia , Controle de Doenças Transmissíveis , Humanos , Pandemias , SARS-CoV-2 , Tempo para o Tratamento , Tuberculose/diagnóstico
4.
Artigo em Inglês | MEDLINE | ID: mdl-34110454

RESUMO

PURPOSE: The psychological status of nasopharyngeal carcinoma (NPC) patients cannot be ignored. Few studies have studied the dynamic changes and influencing factors of psychological status in NPC patients during radiotherapy. The purpose of this study was to investigate the changing trends and risk factors of anxiety and depression in NPC patients during radiotherapy. METHODS: Demographic and clinical data of 232 newly treated NPC patients were collected. Before radiotherapy, the fourth week, and the end of radiotherapy were observational timepoints. Anxiety and depression states were evaluated by the hospital anxiety and depression scale. RESULTS: Scores of anxiety before radiotherapy, in the fourth week and at the end of radiotherapy were 6.32 ± 3.19, 7.87 ± 3.49, and 9.08 ± 3.69, respectively (P < 0.001). Incidence rates of anxiety were 34.0%, 55.1%, and 64.0% (P < 0.001). Depression scores were 5.31 ± 3.19, 7.07 ± 3.63, and 8.32 ± 3.89 (P < 0.001). Incidence rates of depression were 25.0%, 43.9%, and 56.0% (P < 0.001). Gender, age, education level, smoking, and treatment-related toxicity scores (P < 0.05) were independent risk factors for anxiety in patients with NPC during radiotherapy, while age, education level, and treatment-related toxicity scores (P < 0.05) were independent risk factors for depression in these patients. CONCLUSION: The incidence and degree of anxiety and depression in NPC patients increased during radiotherapy. Age, education level, and treatment-related side effects influenced anxiety and depression. More psychological nursing should be given to the NPC patients who are more likely to suffer from psychological distress.

5.
Artigo em Inglês | MEDLINE | ID: mdl-34102052

RESUMO

Development of high-performance materials for electromagnetic wave absorption has attracted extensive interest, but it still remains a huge challenge especially in reducing density and lowering filler loading. Herein, a hierarchical all-carbon nanostructure is rationally designed as follows: the defect-rich hollow graphite capsules (GCs) controlled by the size/density of ZnO templates are synthesized on the surface of helical carbon nanotubes (HCNTs) to form a hybrid nanocomposite, denoted as GCs@HCNTs. As a result, the GCs@HCNTs demonstrate a strong and wide absorption performance with a very low filler loading of 10 wt %. The minimum reflection loss reaches -51.7 dB at 7.6 GHz, and the effective bandwidth (below -10 dB) ranges from 8 to 14 GHz, covering the whole X or Ku bands. The hierarchical nanostructure and homoatomic heterogeneous interface are beneficial to impedance matching and bring additional dipole polarization enhanced by the structural defects, which may enlighten the design of ultralight and broadband high-performance electromagnetic wave absorption materials.

6.
Adv Mater ; : e2008498, 2021 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-34028900

RESUMO

Recently, great progress has been achieved in the design and preparation of conjugated organic polymer photocatalysts for hydrogen generation. However, it is still challenging to develop an organic polymer photocatalyst with high photoconversion efficiency. Rational structure design of organic polymer photocatalysts holds the key point to realize high photocatalytic performance. Herein, a series of donor-π-acceptor (D-π-A) conjugated organic copolymer photocatalysts is developed using statistical copolymerization by tuning the feed molar ratio of pyrene (donor) to dibenzothiophene-S,S-dioxide (acceptor) units. It reveals that the photocatalytic activity of the resulting copolymers is significantly dependent on the molar ratio of donor to acceptor, which efficiently changes the polymer structure and component. When the monomer feed ratio is 25:75, the random copolymer PyBS-3 of 10 mg with Pt cocatalyst shows a high hydrogen evolution rate of 1.05 mmol h-1 under UV/Vis light irradiation using ascorbic acid as the hole-scavenger, and an external quantum efficiency of 29.3% at 420 nm, which represents the state-of-the-art of organic polymer photocatalysts. This work demonstrates that statistical copolymerization is an efficient strategy to optimize the polymer structure for improving the photocatalytic activity of conjugated organic polymer catalysts.

7.
Sci Total Environ ; 779: 146556, 2021 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-34030240

RESUMO

Biochar has the potential to enhance microbial-mediated phosphorus (P) cycling in soils, but the underlying mechanisms remain largely unknown. We hypothesized that biochar amendment could enhance the production of acid and alkaline phosphomonoesterase, phosphodiesterase and P mineralization, which may vary depending on the P input. To test this hypothesis, we assessed the impacts of rice straw biochar application (0 and 4%) under different P-input rates (0, 30 and 90 kg P ha-1) on the relationships among P fractions, phosphatase activities and alkaline phosphomonoesterase-encoding bacterial (phoD gene) communities in an acidic soil. Biochar application under low P input (< 30 kg P ha-1) significantly increased the activities of phosphodiesterase and alkaline phosphomonoesterase but not that of acid phosphomonoesterase and depleted organic P. The results from the structural equation model revealed a dominant role of alkaline phosphomonoesterase in P mineralization. The increase in alkaline phosphomonoesterase activity was not related to an increase in phoD gene abundance but was due to a shift in community composition, which was primarily driven by the soil C:P ratio. Microbial network analysis demonstrated a more complex phoD gene community with more functionally interrelated groups as a result of biochar application under low P input than under high P input. Moreover, the specific enrichment of Micromonosporaceae under C-rich and P-poor conditions may play a critical role in alkaline phosphomonoesterase production and potential P mineralization. In conclusion, we demonstrated that biochar application under low P input supports a more organized phoD gene community and preferentially enriches taxa in terms of their capacity for P mineralization, which in turn may enhance P bioavailability and plant P acquisition.


Assuntos
Fósforo , Solo , Carvão Vegetal , Microbiologia do Solo
8.
Artigo em Inglês | MEDLINE | ID: mdl-34048215

RESUMO

Defect passivation has shown an essential role in improving the efficiency and stability of perovskite solar cells (PSCs). Herein, an efficient and low-cost π-conjugated sulfamic acid additive, 4-aminobenzenesulfonic acid (4-ABSA), is used to realize durable defect passivation of PSCs. The incorporation of 4-ABSA not only constructs a compact and smooth perovskite film but is also capable of passivating both negative- and positive-charged defects derived from under-coordinated lead and halogen ions. Besides, the π-conjugated system in 4-ABSA can induce preferred perovskite crystal orientation and stabilize the coordination effect between 4-ABSA and perovskite grains. As a result, the inverted planar PSC incorporated with 4-ABSA additives demonstrates an improved power conversion efficiency (PCE) from 18.25 to 20.32%. Moreover, this 4-ABSA passivation agent also enhances the stability of devices, which retains 83.5% of its initial efficiency under ambient condition at 60 °C after 27 days. This work provides a π-conjugated sulfamic acid for durable defect passivation of perovskite optoelectronic devices.

9.
Adv Mater ; : e2008158, 2021 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-33969562

RESUMO

Benefiting from low cost and simple synthesis, polythiophene (PT) derivatives are one of the most popular donor materials for organic solar cells (OSCs). However, polythiophene-based OSCs still suffer from inferior power conversion efficiency (PCE) than those based on donor-acceptor (D-A)-type conjugated polymers. Herein, a fluorinated polythiophene derivative, namely P4T2F-HD, is introduced to modulate the miscibility and morphology of the bulk heterojunction (BHJ)-active layer, leading to a significant improvement of the OSC performance. The Flory-Huggins interaction parameters calculated from the surface energy and differential scanning calorimetry results suggest that P4T2F-HD shows moderate miscibility with the popular nonfullerene acceptor Y6-BO (2,2'-((2Z,2'Z)-((12,13-bis(2-butyloctyl)-3,9-diundecyl-12,13-dihydro-[1,2,5]thiadiazolo[3,4-e]thieno[2',3':4',5']thieno[2',3':4,5]pyrrolo[3,2-g]thieno[2',3':4,5]thieno[3,2-b]indole-2,10-diyl)bis(methanylylidene))bis(5,6-difluoro-3-oxo-2,3-dihydro-1H-indene-2,1-diylidene))dimalononitrile), while poly(3-hexylthiophene) (P3HT) is very miscible with Y6-BO. As a result, the P4T2F-HD case forms desired nanoscale phase separation in the BHJ film while the P3HT case forms a completely mixed BHJ film, as revealed by transmission electron microscopy (TEM) and grazing-incidence wide-angle X-ray scattering (GIWAXS). By optimizing the cathode interface and the morphology of the P4T2F-HD:Y6-BO films processed from nonhalogenated solvents, a new record PCE of 13.65% for polythiophene-based OSCs is demonstrated. This work highlights the importance of controlling D/A interactions for achieving desired morphology and also demonstrates a promising OSC system for potential cost-effective organic photovoltaics.

10.
Adv Sci (Weinh) ; 8(9): 2004831, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33977075

RESUMO

Recently, the gut microbiota (GM) has been shown to be a regulator of bone homeostasis and the mechanisms by which GM modulates bone mass are still being investigated. Here, it is found that colonization with GM from children (CGM) but not from the elderly (EGM) prevents decreases in bone mass and bone strength in conventionally raised, ovariectomy (OVX)-induced osteoporotic mice. 16S rRNA gene sequencing reveals that CGM reverses the OVX-induced reduction of Akkermansia muciniphila (Akk). Direct replenishment of Akk is sufficient to correct the OVX-induced imbalanced bone metabolism and protect against osteoporosis. Mechanistic studies show that the secretion of extracellular vesicles (EVs) is required for the CGM- and Akk-induced bone protective effects and these nanovesicles can enter and accumulate into bone tissues to attenuate the OVX-induced osteoporotic phenotypes by augmenting osteogenic activity and inhibiting osteoclast formation. The study identifies that gut bacterium Akk mediates the CGM-induced anti-osteoporotic effects and presents a novel mechanism underlying the exchange of signals between GM and host bone.

11.
Appl Opt ; 60(12): 3492-3500, 2021 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-33983257

RESUMO

The reciprocate scanning scheme of two-dimensional galvanometers is widely used in laser confocal scanning microscopes with high speed. However, the equal interval acquisition of an analog digital acquisition card (AD) and the unequal change of the galvanometer's scanning speed will cause the dislocation of pixels and distortion of the reconstructed image. Meanwhile, the movement properties of the galvanometers in the edge of the scanning area are complex, which will increase the difficulty of segmenting the collected one-dimensional data stream the AD collected into row data of a two-dimensional reconstructed image. Therefore, how to timely and accurately segment the one-dimensional data stream the AD collected into the row data of two-dimensional reconstructed image is not only the key to solve image distortion of a laser confocal scanning microscope with high speed but also the prerequisite to improve the accuracy of row data dislocation correction. A driving mode based on the nonlinear triangular wave and a dislocation-correcting method using a square wave index are proposed. Namely, on the basis of the galvanometer's scanning analysis, the equation of a nonlinear triangular wave driving voltage is established, and the switching frequency of the Y-galvanometer's driving voltage is obtained by calculating the collected switching frequency of the X-galvanometer; thus, the uniformity of the galvanometer's scanning trajectories is secured. Finally, the row segmentation flag pulse is first introduced into the one-dimensional data stream the AD collected, and the square wave index is used to segment the collected data, which means the one-dimensional data stream can be segmented timely and accurately via hardware method. Meanwhile, the pixel dislocation can be corrected. The experimental result shows that, compared with the Nikon A1R+ confocal microscope, the proposed method can effectively correct the pixel dislocation, and the position coincidence error is less than 0.7%. The proposed method will be helpful to improve the image quality of a laser confocal scanning microscope with high speed.

12.
Chem Commun (Camb) ; 57(47): 5774-5777, 2021 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-33997881

RESUMO

Herein, an efficient strategy is demonstrated to prepare a visible-light-driven Nb/Se co-doped BiOI photocatalyst with exposed (110) facets. The results show that its photocatalytic activity is around 17 times higher than that of pure BiOI. This work paves the way towards the fabrication of efficient photocatalysts that have tunable charge dynamics.

13.
Chem Commun (Camb) ; 57(47): 5798-5801, 2021 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-33999064

RESUMO

Two water/alcohol soluble conjugated polymers (WSCPs), based on naphthalenediimide and amino-functionalized 3,4-(propylenedioxy)thiophene, were synthesized via direct arylation polycondensation (DArP). The polymers worked well as electron transporting layers (ETLs) for fullerene-based and fullerene-free organic solar cells (OSCs), presenting an enhancement by above 40% compared to the control devices, respectively. The doping properties and high electron mobilities of these WSCPs endow them with high performance. The research study developed an effective method to synthesize ETLs for highly efficient OSCs, which was rarely reported.

14.
Arch Environ Contam Toxicol ; 81(1): 67-76, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33944965

RESUMO

In this study, the occurrence of heavy metals including cadmium (Cd), chromium (Cr), copper (Cu), lead (Pb), and zinc (Zn) was investigated in indoor dust samples collected from 33 urban and rural areas in 11 provinces, China. The concentrations of the selected heavy metals were determined by an inductively coupled plasma mass spectrometry. The mean concentrations of Zn (166 mg kg-1), Pb (40.7 mg kg-1), Cr (19.8 mg kg-1), Cu (16.9 mg kg-1), and Cd (2.29 mg kg-1) in indoor dust are in low or moderate levels compared with other countries or regions. Cd was significantly enriched with the highest enrichment factor of 23.7, followed by Zn, Pb, Cu, and Cr, which were all lower than 3. The concentrations of Pb from Northern China (61.4 mg kg-1) were significantly higher than those from Southern China (8.88 mg kg-1). The concentrations of heavy metals in indoor dusts from rural areas were higher than those from urban areas except for Cu. The multivariate analysis of variance revealed that wall cover, fuel types, and air conditioning were dominant factors influencing the levels of heavy metals in indoor dust. Principal component analysis showed that outdoor dust and wall paint were main factors for the high concentrations of Cd, Pb, and Cr, accounting for 40.6% of the total contribution; traffic sources contributed to the high levels of Cu and Zn explained 20.6% of the total variance. The hazard indexes of selected heavy metals were less than 1 and carcinogenic risk value of Cr were between 1.01 × 10-6 and 1 × 10-4, indicating minor noncarcinogenic and carcinogenic risks from heavy metals in indoor dust for residents in China. Pb contributed 72.0% and 86.9% to the sum of noncarcinogenic risk values of selected heavy metals for adults and children, respectively. The carcinogenic risk value of Cr was approximately 13-fold higher than that of Cd for both adults and children. Children endured higher risks from heavy metals in indoor dust compared with adults.


Assuntos
Poeira , Metais Pesados , Adulto , Criança , China , Cidades , Poeira/análise , Monitoramento Ambiental , Humanos , Metais Pesados/análise , Medição de Risco
15.
Aging (Albany NY) ; 13(7): 9976-9990, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33795528

RESUMO

Pheochromocytoma and paraganglioma (PCPG) is a rare neuroendocrine tumor. This study aims to identify vital prognostic genes which were associated with PCPG tumor microenvironment (TME). We downloaded transcriptome data of PCPG from TCGA database and calculated the immune scores and stromal scores by using the ESTIMATE algorithm. DEGs related to TMB were then identified. We conducted WGCNA to further extract the TME-related modules. GO, KEGG pathway analysis, and PPI network were performed. Survival analysis was conducted to identify the hub genes associated with the prognosis of PCPG. A total of 150 PCPG samples were included in this study. We obtained 1507 and 2067 DEGs based on immune scores and stromal scores, respectively. WGCNA analysis identified the red module and brown module were correlated with immune sores while the turquoise module and red module were significantly associated with stromal scores. Functional enrichments analysis revealed that 307 TME-related genes were correlated with the inflammation or immune response. Survival analysis showed that three TME-relate genes (ADGRE1, CCL18, and LILRA6) were associated with PCPG prognosis. These three hub genes including ADGRE1, CCL18, and LILRA6 might be involved in the progression of PCPG and could serve as potential biomarkers and novel therapeutic targets.

16.
ChemSusChem ; 2021 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-33847443

RESUMO

Fused aromatic cores in non-fullerene electron acceptors (NFEAs) play a significant role in determining their optoelectronic properties and photovoltaic performance. In this work, a dodecacyclic-fused core with three electron-deficient units is synthesized through a double intramolecular Cadogan reduction cyclization. Terminal groups with different halogen substitution (F or Cl) are grafted onto the dodecacyclic-fused core to afford MS-4F and MS-4Cl, both of which showed strong and broad absorption, narrow bandgaps around 1.40 eV, and variable molecular packing model in pristine and blend films. Photovoltaic performance of solar cells containing MS-4F and MS-4Cl as NFEAs were investigated with resultant power conversion efficiencies (PCEs) of 11.75 % and 11.79 %, respectively. The mechanism study indicates that both of PBDB-T : MS-4F- and PBDB-T : MS-4Cl-based devices displayed high hole and electron mobility values, efficient charge transfer, and low charge recombination etc. These results indicate that designing multiple-fused aromatic cores with multiple electron-deficient units is a promising strategy to obtain high-performance NFEAs.

17.
Infect Dis Poverty ; 10(1): 54, 2021 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-33883030

RESUMO

BACKGROUND: The China National Health Commission-Gates TB Project Phase III implemented a comprehensive TB control model including multiple interventions to address the burden of drug-resistant TB (DRTB). This study aims to evaluate the quality of DRTB clinical services and assess the financial burden of DRTB patients during the intervention period. METHODS: A mixed-methods approach was used to evaluate the effectiveness of interventions in the three project provinces: Zhejiang, Jilin and Ningxia Hui Autonomous Region. The quantitative data included de-identified DRTB registry data during 2015-2018 in project provinces from China CDC, medical records of DRTB patients registered in 2018 (n = 106) from designated hospitals, and a structured DRTB patient survey in six sample prefectures in 2019. The quality of clinical services was evaluated using seven indicators across patient screening, diagnosis and treatment. Logistic regression was conducted to explore factors associated with the extremely high financial burden. Semi-structured in-depth interviews with policymakers and focus group discussions with physicians and DRTB patients were conducted to understand the interventions implemented and their impacts. RESULTS: The percentage of bacterially confirmed patients taking a drug susceptibility test (DST) increased significantly between 2015 and 2018: from 57.4 to 93.6% in Zhejiang, 12.5 to 86.5% in Jilin, and 29.7 to 91.4% in Ningxia. The treatment enrollment rate among diagnosed DRTB patients also increased significantly and varied from 73 to 82% in the three provinces in 2018. Over 90% of patients in Zhejiang and Jilin and 75% in Ningxia remained in treatment by the end of the first six months' treatment. Among all survey respondents 77.5% incurred extremely high financial burden of treatment. Qualitative results showed that interventions on promoting rapid DST technologies and patient referral were successfully implemented, but the new financing policies for reducing patients' financial burden were not implemented as planned. CONCLUSIONS: The quality of DRTB related clinical services has been significantly improved following the comprehensive interventions, while the financial burden of DRTB patients remains high due to the delay in implementing financing policies. Stronger political commitment and leadership are required for multi-channel financing to provide additional financial support to DRTB patients.

18.
Genes Genomics ; 43(7): 815-827, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33904112

RESUMO

BACKGROUND: Many long non-coding RNAs (lncRNAs) have been suggested to play critical roles in acute lung injury (ALI) pathogenesis, including lncRNA nuclear enriched abundant transcript 1 (NEAT1). OBJECTIVE: We aimed to further elucidate the functions and molecular mechanism of NEAT1 in ALI. METHODS: Human pulmonary alveolar epithelial cells (HPAEpiCs) stimulated by lipopolysaccharide (LPS) were served as a cellular model of ALI. Cell viability and cell apoptosis were determined by cell counting kit-8 (CCK-8) assay and flow cytometry, respectively. The expression of NEAT1, microRNA-424-5p (miR-424-5p), and mitogen-activated protein kinase 14 (MAPK14) was measured by quantitative real-time polymerase chain reaction (qRT-PCR) or western blot analysis. Caspase activity was determined by caspase activity kit. The inflammatory responses were evaluated using enzyme-linked immunosorbent assay (ELISA). The oxidative stress factors were analyzed by corresponding kits. RESULTS: NEAT1 was upregulated in LPS-stimulated HPAEpiCs. NEAT1 knockdown weakened LPS-induced injury by inhibiting apoptosis, inflammation and oxidative stress in HPAEpiCs. Moreover, miR-424-5p was a direct target of NEAT1, and its knockdown reversed the effects caused by NEAT1 knockdown in LPS-induced HPAEpiCs. Furthermore, MAPK14 was a downstream target of miR-424-5p, and its overexpression attenuated the effects of miR-424-5p on reduction of LPS-induced injury in HPAEpiCs. Besides, NEAT1 acted as a sponge of miR-424-5p to regulate MAPK14 expression. CONCLUSION: NEAT1 knockdown alleviated LPS-induced injury of HPAEpiCs by regulating miR-424-5p/MAPK14 axis, which provided a potential therapeutic target for the treatment of ALI.

19.
BMJ Open ; 11(4): e047023, 2021 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-33846156

RESUMO

OBJECTIVES: To examine changes in the screening, diagnosis, treatment and management of drug-resistant tuberculosis (DRTB) patients, and investigate the impacts of DRTB-related policies on patients of different demographic and socioeconomic characteristics. DESIGN: A retrospective cohort study using registry data, plus a survey on DRTB-related policies. SETTING: All prefecture-level Centres for Disease Control in Zhejiang Province, China. MAIN OUTCOME MEASURES: Alongside the care cascade, we examined: (1) reported number of presumptive DRTB patients; (2) percentage of presumptive patients with drug susceptibility testing (DST) records; (3) percentage of DRTB/rifampicin-resistant (RR) patients registered; (4) percentage of RR/multidrug-resistant TB (MDRTB) patients that received anti-DRTB treatment; and (5) percentage of RR/MDRTB patients cured/completed treatment among those treated. Multivariate logistic regressions were conducted to explore the impacts of DRTB policies after adjusting for other factors. RESULTS: The number of reported presumptive DRTB patients and the percentage with DST records largely increased during 2015-2018, and the percentage of registered patients who received anti-DRTB treatment also increased from 59.0% to 86.5%. Patients under the policies of equipping GeneXpert plus expanded criteria for DST had a higher likelihood of being registered compared with no GeneXpert (adjusted OR (aOR)=2.57, 95% CI: 1.20 to 5.51), while for treatment initiation the association was only significant when further expanding the registration criteria (aOR=2.38, 95% CI: 1.19 to 4.79). Patients with registered residence inside Zhejiang were more likely to be registered (aOR=1.96, 95% CI: 1.52 to 2.52), treated (aOR=3.83, 95% CI: 2.78 to 5.28) and complete treatment (aOR=1.92, 95% CI: 1.03 to 3.59) compared with those outside. CONCLUSION: The policy changes on DST and registration have effectively improved DRTB case finding and care. Nevertheless, challenges remain in servicing vulnerable groups such as migrants and improving equity in the access to TB care. Future policies should provide comprehensive support for migrants to complete treatment at their current place of residence.


Assuntos
Mycobacterium tuberculosis , Tuberculose Resistente a Múltiplos Medicamentos , Antituberculosos/uso terapêutico , China/epidemiologia , Humanos , Testes de Sensibilidade Microbiana , Políticas , Estudos Retrospectivos , Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia
20.
J Colloid Interface Sci ; 597: 84-93, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33872889

RESUMO

Sludge derived carbon (SC) has been widely used in advanced oxidation processes as an effective and economic catalyst. In this study, we applied surface modified SC for the first time to catalyze the heterogeneous photo-Fenton process with ciprofloxacin, a highly concerned emerging contaminant, as a model substance. H2SO4 was used to acidify the SCs under varying acid dosages, temperatures, and reaction time lengths. The surface acidity of SCs was quantitatively characterized with NH3-TPD. A strong correlation between the surface acidity and the catalytic activity was clearly demonstrated. The highest catalytic activity was obtained with SC whose acidity was 0.149 mmol·g-1 after being modified with 6 mol·L-1 H2SO4 at -20 ℃ for 24 h. In addition, XRD, XRF, BET, XPS, and HRTEM were also used to characterize the obtained SC. ·OH radicals were found to be the main reactive species by EPR. Ten transformation products were identified by GC-MS, based on which three possible reaction pathways were proposed.

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