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1.
Sci Total Environ ; 866: 161310, 2023 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-36603642

RESUMO

Although sodium hypochlorite acting as an oxidant has been investigated for the role it plays in the degradation of organic contaminants, little attention has been paid to its activation and efficient utilization. In this study, natural manganese sand (NMS) was verified to be effective for activation of sodium hypochlorite (NaClO). Due to the generation of O2-, the removal efficiency of ionic organic contaminants in NMS/NaClO system was 1.9-4.1 times higher than that in NMS or NaClO alone. Hence, NMS activated NaClO system performed ~96.6 % contaminants removal efficiency at a wide pH range (pH 5-9). Kinetic modeling yielded that the NMS dosage was more important than NaClO dosage. Long-term stability was observed in the presence of various salts (bicarbonate, sulfate, phosphate, and chloride). Characterization results revealed that electron transfer among NMS, NaClO, and organic contaminants was responsible for NaClO activation. Then NaClO-based Fenton-like process was proposed by tracing the degradation intermediates of methyl orange (MO) and generations of reactive oxygen species in the MO/NMS/NaClO system. This study presents the potential of NMS to activate NaClO and enhance ionic organic contaminants removal from aquatic environments.

2.
Sci Rep ; 13(1): 155, 2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36599877

RESUMO

A key step in understanding animal behaviour relies in the ability to quantify poses and movements. Methods to track body landmarks in 2D have made great progress over the last few years but accurate 3D reconstruction of freely moving animals still represents a challenge. To address this challenge here we develop the 3D-UPPER algorithm, which is fully automated, requires no a priori knowledge of the properties of the body and can also be applied to 2D data. We find that 3D-UPPER reduces by [Formula: see text] fold the error in 3D reconstruction of mouse body during freely moving behaviour compared with the traditional triangulation of 2D data. To achieve that, 3D-UPPER performs an unsupervised estimation of a Statistical Shape Model (SSM) and uses this model to constrain the viable 3D coordinates. We show, by using simulated data, that our SSM estimator is robust even in datasets containing up to 50% of poses with outliers and/or missing data. In simulated and real data SSM estimation converges rapidly, capturing behaviourally relevant changes in body shape associated with exploratory behaviours (e.g. with rearing and changes in body orientation). Altogether 3D-UPPER represents a simple tool to minimise errors in 3D reconstruction while capturing meaningful behavioural parameters.


Assuntos
Algoritmos , Imageamento Tridimensional , Animais , Camundongos , Imageamento Tridimensional/métodos , Movimento , Comportamento Animal
3.
Ocul Immunol Inflamm ; : 1-8, 2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36637883

RESUMO

PURPOSE: We investigated the aqueous humor proteome and associated plasma proteome in patients with infectious or noninfectious uveitis. METHODS: AH and plasma were obtained from 28 patients with infectious uveitis (IU), 29 patients with noninfectious uveitis (NIU) and 35 healthy controls undergoing cataract surgery. The proteins profile was analyzed by SomaScan technology. RESULTS: We found 1844 and 2484 proteins up-regulated and 124 and 161 proteins down-regulated in the AH from IU and NIU groups, respectively. In the plasma, three proteins were up-regulated in NIU patients, and one and five proteins were down-regulated in the IU and NIU patients, respectively. The results of pathway enrichment analysis for both IU and NIU groups were related mostly to inflammatory and regulatory processes. CONCLUSION: SomaScan was able to detect novel AH and plasma protein biomarkers in IU and NIU patients. Also, the unique proteins found in both AH and plasma suggest a protein signature that could distinguish between infectious and noninfectious uveitis.

4.
Microbiome ; 11(1): 9, 2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36639805

RESUMO

BACKGROUND: Celiac disease (CD) is an autoimmune disorder triggered by gluten consumption. Almost all CD patients possess human leukocyte antigen (HLA) DQ2/DQ8 haplotypes; however, only a small subset of individuals carrying these alleles develop CD, indicating the role of environmental factors in CD pathogenesis. The main objective of this study was to determine the contributory role of gut microbiota and microbial metabolites in CD onset. To this end, we obtained fecal samples from a prospective cohort study (ABIS) at ages 2.5 and 5 years. Samples were collected from children who developed CD after the final sample collection (CD progressors) and healthy children matched by age, HLA genotype, breastfeeding duration, and gluten-exposure time (n=15-16). We first used 16S sequencing and immunoglobulin-A sequencing (IgA-seq) using fecal samples obtained from the same children (i) 16 controls and 15 CD progressors at age 2.5 and (ii) 13 controls and 9 CD progressors at age 5. We completed the cytokine profiling, and plasma metabolomics using plasma samples obtained at age 5 (n=7-9). We also determined the effects of one microbiota-derived metabolite, taurodeoxycholic acid (TDCA), on the small intestines and immune cell composition in vivo. RESULTS: CD progressors have a distinct gut microbiota composition, an increased IgA response, and unique IgA targets compared to healthy subjects. Notably, 26 plasma metabolites, five cytokines, and one chemokine were significantly altered in CD progressors at age 5. Among 26 metabolites, we identified a 2-fold increase in TDCA. TDCA treatment alone caused villous atrophy, increased CD4+ T cells, Natural Killer cells, and two important immunoregulatory proteins, Qa-1 and NKG2D expression on T cells while decreasing T-regulatory cells in intraepithelial lymphocytes (IELs) in C57BL/6J mice. CONCLUSIONS: Pediatric CD progressors have a distinct gut microbiota composition, plasma metabolome, and cytokine profile before diagnosis. Furthermore, CD progressors have more IgA-coated bacteria and unique targets of IgA in their gut microbiota. TDCA feeding alone stimulates an inflammatory immune response in the small intestines of C57BJ/6 mice and causes villous atrophy, the hallmark of CD. Thus, a microbiota-derived metabolite, TDCA, enriched in CD progressors' plasma, has the potential to drive inflammation in the small intestines and enhance CD pathogenesis. Video Abstract.


Assuntos
Doença Celíaca , Microbioma Gastrointestinal , Imunoglobulina A , Animais , Pré-Escolar , Humanos , Camundongos , Atrofia , Doença Celíaca/genética , Citocinas , Glutens , Metaboloma , Camundongos Endogâmicos C57BL , Estudos Prospectivos
5.
Nat Commun ; 14(1): 125, 2023 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-36624097

RESUMO

Site- and enantioselective cross-coupling of saturated N-heterocycles and carboxylic acids-two of the most abundant and versatile functionalities-to form pharmaceutically relevant α-acylated amine derivatives remains a major challenge in organic synthesis. Here, we report a general strategy for the highly site- and enantioselective α-acylation of saturated N-heterocycles with in situ-activated carboxylic acids. This modular approach exploits the hydrogen-atom-transfer reactivity of photocatalytically generated chlorine radicals in combination with asymmetric nickel catalysis to selectively functionalize cyclic α-amino C-H bonds in the presence of benzylic, allylic, acyclic α-amino, and α-oxy methylene groups. The mild and scalable protocol requires no organometallic reagents, displays excellent chemo-, site- and enantioselectivity, and is amenable to late-stage diversification, including a modular synthesis of previously inaccessible Taxol derivatives. Mechanistic studies highlight the exceptional versatility of the chiral nickel catalyst in orchestrating (i) catalytic chlorine elimination, (ii) alkyl radical capture, (iii) cross-coupling, and (iv) asymmetric induction.


Assuntos
Ácidos Carboxílicos , Cloro , Ácidos Carboxílicos/química , Níquel/química , Estereoisomerismo , Catálise
6.
Theranostics ; 13(2): 849-866, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36632224

RESUMO

Background: Increasing evidence suggests that acute traumatic spinal cord injury (SCI)-induced defects in autophagy and autophagy-lysosomal pathway (ALP) may contribute to endothelial barrier disruption following injury. Recently, Kruppel-like factor 2 (KLF2) was reported as a key molecular switch on regulating autophagy. Whether KLF2 coordinates endothelial endothelial ALP in SCI is not known. Methods: Genetic manipulations of KLF2 were performed in bEnd.3 cells and SCI model. Western blot, qRT-PCR, immunofluorescence staining and Lyso-Tracker Red staining, Evans blue dye extravasation, behavioral assessment via Basso mouse scale (BMS), electrophysiology and footprint analysis were performed. Results: In SCI, autophagy flux disruption in endothelial cells contributes to TJ proteins degradation, leading to blood-spinal cord barrier (BSCB) impairment. Furthermore, the KLF2 level was decreased in SCI, overexpression of which alleviated TJ proteins loss and BSCB damage, which improve motor function recovery in SCI mice, while knockdown of KLF2 displayed the opposite effects. At the molecular level, KLF2 overexpression alleviated the TJ proteins degradation and the endothelial permeability by tuning the ALP dysfunction caused by SCI and oxygen glucose deprivation (OGD). Conclusions: Endothelial KLF2 as one of the key contributors to SCI-mediated ALP dysfunction and BSCB disruption. KLF2 could be a promising pharmacological target for the management and treatment of SCI.


Assuntos
Células Endoteliais , Traumatismos da Medula Espinal , Ratos , Camundongos , Animais , Células Endoteliais/metabolismo , Recuperação de Função Fisiológica , Ratos Sprague-Dawley , Traumatismos da Medula Espinal/metabolismo , Barreira Hematoencefálica/metabolismo , Fatores de Transcrição/metabolismo , Autofagia , Fatores de Transcrição Kruppel-Like/genética , Fatores de Transcrição Kruppel-Like/metabolismo
7.
Food Microbiol ; 111: 104213, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36681401

RESUMO

The protozoa Cryptosporidium and Giardia are major causes of diarrhea and are commonly found on vegetables in China. They pose a health risk, particularly to immunocompromised individuals, including cancer patients. A quantitative microbial risk assessment of Chinese data evaluated the risks of Cryptosporidium and Giardia exposure arising from the application of surface water and septic tank effluent to agricultural land. Exposure via agricultural produce consumption (consumers) and agricultural practices (farmers) was considered for subpopulations of cancer patients and immunocompetent people in urban and rural areas, and risk mitigation scenarios were modelled. The cumulative disease burdens attributable to cryptosporidiosis and giardiasis were, respectively, 9.68×10-6 and 5.57×10-5 disability-adjusted life years per person per year (DALYs pppy) for immunocompetent people, and 3.14×10-5 and 1.51×10-4 DALYs pppy for cancer patients. Cancer patients were approximately three times more likely to have an individual disease burden than immunocompetent people. The disease burden was higher for consumers than farmers, and higher in rural areas than urban areas (all exceeding the maximum recommended by the World Health Organization). The highest burdens were in provinces of high population, such as Henan, Guangdong, and Sichuan, while the burden associated with human and livestock fecal effluent application was higher than with surface water irrigation. Of the three vegetables studied, lettuce posed the greatest risk, followed by bok choy, while cucumber posed the least risk. Risk mitigation scenario analysis showed that pre-treatment of surface water and feces, and appropriate post-harvest handling of vegetables, including disinfection, cooking, and adequate surface heat treatment (75 °C for 60 s), should be considered when attempting to reduce disease burdens. The methodology and findings of this study are useful for evaluating and reducing the burden of Cryptosporidium and Giardia infections associated with agricultural irrigation and fertilization practices, particularly on cancer patients.


Assuntos
Criptosporidiose , Cryptosporidium , Giardíase , Neoplasias , Humanos , Giardíase/epidemiologia , Giardia , Criptosporidiose/epidemiologia , Água , Irrigação Agrícola/métodos , Medição de Risco , Verduras
8.
Adv Sci (Weinh) ; : e2204177, 2023 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-36658726

RESUMO

Repopulation of residual tumor cells impedes curative radiotherapy, yet the mechanism is not fully understood. It is recently appreciated that cancer cells adopt a transient persistence to survive the stress of chemo- or targeted therapy and facilitate eventual relapse. Here, it is shown that cancer cells likewise enter a "radiation-tolerant persister" (RTP) state to evade radiation pressure in vitro and in vivo. RTP cells are characterized by enlarged cell size with complex karyotype, activated type I interferon pathway and two gene patterns represented by CST3 and SNCG. RTP cells have the potential to regenerate progenies via viral budding-like division, and type I interferon-mediated antiviral signaling impaired progeny production. Depleting CST3 or SNCG does not attenuate the formation of RTP cells, but can suppress RTP cells budding with impaired tumor repopulation. Interestingly, progeny cells produced by RTP cells actively lose their aberrant chromosomal fragments and gradually recover back to a chromosomal constitution similar to their unirradiated parental cells. Collectively, this study reveals a novel mechanism of tumor repopulation, i.e., cancer cell populations employ a reversible radiation-persistence by poly- and de-polyploidization to survive radiotherapy and repopulate the tumor, providing a new therapeutic concept to improve outcome of patients receiving radiotherapy.

9.
Water Res ; 229: 119431, 2023 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-36527870

RESUMO

The widespread presence of microplastics (MPs) in the Yangtze River, the third longest river in the world, has drawn increasing attention. Although numerous studies have been conducted recently to investigate and analyze the MPs exposure to the surface water of the river, most merely focus on a certain part of the Yangtze River, and knowledge of MPs based on the basin-wide is still scattered. This article reveals the spatial distribution characteristics of MPs in the Yangtze River from the whole watershed scale. Among the five areas in the basin, the upstream and the midstream were demonstrated to contain more MPs (3598.6 particles/m3 and 3226.8 particles/m3). The obtained results suggested the MP presented in the entire watersheds was uneven and the 'hotspots' occurred, where the MPs concentrations were relatively higher than the surrounding. The discharging of the wastewater treatment plants along the river, the locations of dams, and the stability and fragment of MPs, were demonstrated to be the important driving factors in the spatial distribution of MPs and leading to the appearance of the MP 'hotspots' in the Yangtze River, but were previously overlooked. It is the first study to evaluate the ecological risk of MPs exposure to the surface water of the Yangtze River with multiple assessment methods, taking not only abundance but also morphological characteristics, polymer composition and toxic effect into account. More importantly, based on the multiple individual MPs risk assessment methods, we developed the BetaMP method which achieves a comprehensive assessment of MP risk in basin-wide by taking multiple MP characteristics into account for the first time. This is conducive to better understanding the environmental impacts of MPs pollution in the different regions of the river.


Assuntos
Microplásticos , Poluentes Químicos da Água , Plásticos , Poluentes Químicos da Água/análise , Monitoramento Ambiental/métodos , Rios , Água , Medição de Risco , China
10.
Food Chem ; 409: 135342, 2023 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-36586262

RESUMO

As a common food processing technology, microbial fermentation is becoming increasingly popular to promote the bioactivity of materials. This study aims to enhance rape bee pollen bioactivity through fermentation and trace the potential components associated with its bioactivity. The antioxidant and anti-inflammatory activities of unfermented bee pollen and fermented bee pollen were evaluated, and their correlation with differential metabolites was analyzed. The results indicated that fermentation significantly (p < 0.05) improved the antioxidant (>2.3-fold) and anti-inflammatory (>1.36-fold) activities of bee pollen, and increased the contents of total phenolics and flavonoids by 1.99 and 1.53 folds. Moreover, the correlation analysis results indicated that 15 components, including three phenolamides, one flavonoid aglycone, seven fatty acids, three amino acids and one ketone compound, were positively correlated with bee pollen antioxidant and anti-inflammatory activities. These results suggest that fermentation is a promising approach to increase the bioactivity of bee pollen.


Assuntos
Antioxidantes , Flavonoides , Animais , Abelhas , Antioxidantes/química , Fermentação , Flavonoides/análise , Espectrometria de Massas , Cromatografia Líquida , Cromatografia Líquida de Alta Pressão/métodos , Pólen/química , Anti-Inflamatórios/análise , Metabolômica
11.
DNA Cell Biol ; 42(1): 53-64, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36580535

RESUMO

Circular RNA (circRNA) is involved in the occurrence and development of various cancers. To this day, the expression and mechanism of circRNA in osteosarcoma (OS) remain unclear. We previously found that circ_0001060 was highly expressed in OS tumor tissues. In this work, we identified that high level expression of circ_0001060 was significantly associated with late clinical stage, larger tumor volume, higher frequency of metastasis, and poor prognosis in OS patients. Furthermore, we confirmed that silencing circ_0001060 inhibited the proliferation and migration of OS cell. Using bioinformatics analysis, we built three circRNA-miRNA-mRNA regulatory modules (circ_0001060-miR-203a-5p-TRIM21, circ_0001060-miR-208b-5p-MAP3K5, and circ_0001060-miR-203a-5p-PRKX), suggesting that these signaling axes may be involved in the inhibitory effect of circ_0001060 on OS. To sum up, circ_0001060 is a novel tumor biomarker for OS as well as a potential therapeutic target.


Assuntos
Neoplasias Ósseas , MicroRNAs , Osteossarcoma , Humanos , RNA Circular/genética , RNA Circular/metabolismo , Linhagem Celular Tumoral , Regulação Neoplásica da Expressão Gênica , Proliferação de Células/genética , MicroRNAs/genética , MicroRNAs/metabolismo , Osteossarcoma/genética , Osteossarcoma/patologia , Neoplasias Ósseas/genética , Neoplasias Ósseas/patologia
14.
Diabetes Metab Syndr Obes ; 15: 3739-3751, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36474726

RESUMO

Purpose: As a formula of traditional Chinese medicine (TCM), Huoxue Jiangtang Decoction (HJD) has positive effects on diabetes mellitus (DM) through improving of the metabolism of glycolipid and the function of ß-cell. Hence, this research aims to explore the potential therapeutic effects of HJD on diabetes and reveal its underlying mechanisms. Methods: Diabetic rat models induced by high-fat diet (HFD) and streptozotocin (STZ) were included in this study. Following successful modeling, diabetic rats were treated with HJD, and then its therapeutic effects in eight weeks were evaluated. In addition to biochemical indicators, two-bottle preference tests were carried out to examine the rats' preferences for fat and sugar, and 16S rRNA gene sequencing was performed to disclose the differences of oral microbiota among groups. Finally, Pearson correlation coefficient was used to explore the correlation between oral microbiota and the preferences for fat and sugar. Results: It was found that HJD significantly improved the levels of fasting blood glucose (FBG), glucose tolerance, and dyslipidemia. Additionally, HJD contributed to decreasing preferences for fat and sugar in diabetic rats, which plays an important role in food intake. Furthermore, HJD regulated the abundance, distribution, and structure of oral microbiota in diabetic rats, serving as one of the underlying mechanisms of its antidiabetic effects. Conclusion: Taken with other formulas, HJD functions to improve the metabolism of glycolipid and the function of ß-cell by inhibiting preferences for fat and sugar, as well as regulating the oral microbiota of diabetic rats. Furthermore, a potential correlation between the oral micro-environment and preferences for fat and sugar in STZ-induced diabetic rats is likely to exist.

15.
J Hazard Mater ; 445: 130420, 2022 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-36462237

RESUMO

Intensive application of low-density polyethylene mulch films has resulted in substantial accumulation of residual plastics in agricultural soil. Although considerable concerns have been raised on the residual plastic pollution, their impacts on the soil-rhizosphere microbe-plant ecosystem have not been fully elucidated. In this study, we used a pot experiment to determine the effects of residual plastic films with different sizes (La, Ma, Mi and Mx) on properties, enzyme systems and nutrients of soil, composition of rhizosphere microbial community, and physiology, growth and stress response of rice plants. Residual plastic films significantly decreased soil bulk density and increased soil porosity, leading to the alteration of extracellular enzyme activities, and accumulation of dissolved nitrogen (NO3-N + NH4-N). The structures of both bacterial and fungal communities were significantly changed by residual plastic films with rhizosphere microbes more sensitive to small-sized plastics. Plant growth was inhibited to different extents by residual plastic films with different sizes. The weighted gene co-expression network analysis (WGCNA) showed that photosynthesis and carbon fixation of rice plants were repressed by residual plastic films, due to the reduced chlorophyll content and rubisco activity. In addition, the endogenous jasmonic acid and antioxidant enzyme system were induced to activate tolerant responses in rice plants to the stress imposed by residual plastic films. The partial least squares path models (PLS-PMs) revealed that residual plastic films had direct and/or indirect effects on the soil-rhizosphere microbe-plant system.

16.
Oxid Med Cell Longev ; 2022: 7067623, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36578523

RESUMO

Chronic obstructive pulmonary disease (COPD), a small airway disease, is regarded as a metabolic disorder. To further uncover the metabolic profile of COPD patients, it is necessary to identify metabolism-related differential genes in small airway epithelium (SAE) of COPD. Metabolism-related differential genes in SAE between COPD patients and nonsmokers were screened from GSE128708 and GSE20257 datasets. KEGG, GO, and PPI analyses were performed to evaluate the pathway enrichment, term enrichment, and protein interaction of candidate metabolism-related differential genes, respectively. RT-PCR was used to verify the mRNA expression of the top ten differential genes. Western blotting was used to evaluate the protein expression of TXNRD1. TXNRD1 inhibitor auranofin (AUR) was used to assess the impact of TXNRD1 on oxidative stress and inflammation induced by cigarette smoke extraction (CSE). Twenty-four metabolism-related differential genes were selected. ALDH3A1, AKR1C3, CYP1A1, AKC1C1, CPY1B1, and TXNRD1 in the top ten genes were significantly upregulated after CSE simulation for 24 h in human bronchial epithelial (16HBE) cells. Among them, CYP1A1 and TXNRD1 also have a significant upregulation in primary SAE after simulation of CSE for 24 h. The overexpression of protein TXNRD1 has also been detected in 16HBE cells, primary SAE stimulated with CSE, and mouse lung exposed to cigarette smoke (CS). Additionally, inhibition of TXNRD1 with 0.1 µM AUR alleviated the expression of IL-6 and reactive oxygen species (ROS) induced by CSE by activating the Nrf2/HO-1 pathway in 16HBE cells. This study identified twenty-four metabolism-related differential genes associated with COPD. TXNRD1 might participate in the oxidative stress and inflammation induced by CS by regulating the activation of the Nrf2/HO-1 pathway.


Assuntos
Fumar Cigarros , Doença Pulmonar Obstrutiva Crônica , Animais , Camundongos , Humanos , Fator 2 Relacionado a NF-E2/genética , Fator 2 Relacionado a NF-E2/metabolismo , Fumar Cigarros/efeitos adversos , Citocromo P-450 CYP1A1/metabolismo , Linhagem Celular , Doença Pulmonar Obstrutiva Crônica/genética , Doença Pulmonar Obstrutiva Crônica/metabolismo , Inflamação/genética , Inflamação/metabolismo , Estresse Oxidativo/genética , Tabaco , Epitélio/metabolismo , Células Epiteliais/metabolismo , Tiorredoxina Redutase 1/metabolismo
17.
Front Endocrinol (Lausanne) ; 13: 1038973, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36568101

RESUMO

Background: Idiopathic scoliosis (IS) is a common spinal disorder. Although several studies have reported the benefits of manual therapy for patients with IS in improving pain, anxiety, depression, and spinal disorders, the efficacy of manual therapy in the management of IS remain controversial. Therefore, this review was conducted to assess effects of manual therapy in the management of IS, primarily on pain and mental health of the patients and secondarily on their spinal disorders. Methods: Six electronic databases were searched for randomized controlled trials of manual therapy in the management of IS. The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database (PEDro) Scale. The meta-analysis was conducted depending on different outcomes and control therapies using Review Manager version 5.3 software. Results: Seventeen studies were included in the present review. The PEDro scores of the included studies ranged from 5-7 points. The aggregated results indicated that Tuina (a traditional Chinese manipulation technique) had valuable improvement effects on pain (standardized mean difference (SMD), 0.92; 95% confidence interval (CI), 0.59 to 1.25; P<0.00001), negative emotions (SMD, 0.82; 95% CI, 0.51 to 1.13; P<0.00001), and disability (SMD, 1.29; 95% CI, 0.39 to 2.19; P=0.005). For the radiographic outcomes including the Cobb angle and vertebral rotation, Tuina, especially when combined with other conservative therapies, showed potential complementary effects for patients with IS. Conclusions: Tuina, as a complementary and alternative therapy, should be considered for the effective management of patients with IS, especially for the improvement of their pain and mental health. More randomized controlled trials are recommended to validate the current evidence. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42020165220.


Assuntos
Dor Crônica , Manipulações Musculoesqueléticas , Escoliose , Humanos , Escoliose/terapia , Saúde Mental , Manipulações Musculoesqueléticas/métodos , Manejo da Dor/métodos
19.
Nanomaterials (Basel) ; 12(23)2022 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-36500844

RESUMO

The interaction between nanoplastics and bacteria remains still largely unclear. In this study, we determined the effect of nanopolystyrene particle (NP) on a bacterial pathogen of Acinetobacter&nbsp;johnsonii AC15. Scanning electron microscopy (SEM) analysis indicated the aggregation of NPs from 10 µg/L to 100 µg/L on surface of A. johnsonii AC15, suggesting that A.&nbsp;johnsonii AC15 acted as the vector for NPs. Exposure to 100-1000 µg/L NPs increased the growth and colony-forming unit (CFU) of A.&nbsp;johnsonii AC15. In addition, exposure to 100-1000 µg/L NPs enhanced the amount of formed biofilm of A.&nbsp;johnsonii AC15. Alterations in expressions of 3 survival-related (zigA, basD, and zur), 5 biofilm formation-related (ompA, bap, adeG, csuC, and csuD), and 3 serum resistance-related virulence genes (lpxC, lpxL, and pbpG) were observed after exposure to 1000 µg/L NPs. Moreover, both CFU and survival rate of A.&nbsp;johnsonii AC15 in normal human serum (NHS) were significantly increased by 1-1000 µg/L NPs, suggesting the enhancement in serum resistance of Acinetobacter pathogen by NPs. In the NHS, expressions of 3 survival-related (zigA, basD, and zur), 9 biofilm formation-related (ompA, bap, adeF, adeG, csuA/B, csuC, csuD, csuE, and hlyD), and 3 serum resistance-related virulence genes (lpxC, lpxL, and pbpG) were affected by 1000 µg/L NPs. Expressions of 1 survival-related (zigA), 5 biofilm formation-related (bap, adeG, csuC, csuD, and csuE), and 3 serum resistance-related virulence genes (lpxC, lpxL, and pbpG) were also altered by 10 µg/L NPs after the addition of NHS. Therefore, exposure to NPs in the range of µg/L has the potential to enhance bacterial virulence by increasing their growth, biofilm formation, and serum resistance.

20.
JAMA Health Forum ; 3(12): e224613, 2022 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-36484999

RESUMO

This cross-sectional study compares the characteristics, finances, services, and challenges at hospitals that are eligible vs not eligible to become rural emergency hospitals.


Assuntos
Serviço Hospitalar de Emergência , Hospitais Rurais
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