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1.
Biomed Pharmacother ; 135: 111197, 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33433362

RESUMO

Prostatitis, defined as a pathological inflammatory change in the prostate tissue, is one of the most prevalent urological conditions in men. However, optimal management of prostatitis remains unclear, and treatment outcomes are unsatisfactory owing to adverse effects. Carica papaya leaf extract (PAL) is known for its antioxidant, immunomodulatory, and anticancer properties; however, evidence of its anti-inflammatory effect in prostatic tissues remains elusive. In this study, the therapeutic effects and underlying molecular mechanisms of PAL in mice with experimental autoimmune prostatitis (EAP) and a prostatic cell line (RWPE-1 cells) exposed to inflammatory conditioned medium were investigated. PAL suppressed pathological alterations in EAP and markedly reduced prostate weight in EAP mice. Histological analysis revealed that PAL alleviates prostatic hyperplasia. Furthermore, PAL significantly reduced cyclooxygenase-2 mRNA and protein expression; production of inflammatory cytokines, including interleukin-6, tumor necrosis factor-α, and transforming growth factor-ß; and TRAF6/TAK1/MEK/ERK and NF-κB pathway-related protein expression. TRAF6/TAK1/MEK/ERK and NF-κB pathway-related proteins were upregulated in inflammatory conditioned medium-stimulated RWPE-1 cells, but PAL reduced the expression of these markers. Particularly, PAL treatment suppressed the nuclear translocation of NF-κB p65 and phosphorylation of p65 in RWPE-1 cells exposed to the inflammatory conditioned medium. Collectively, the results demonstrate the anti-proliferative and anti-inflammatory effects of PAL in the experimental prostatitis model, which highlights the potential of PAL as a new therapeutic agent in the treatment of prostatic disease.

2.
Artigo em Inglês | MEDLINE | ID: mdl-33461183

RESUMO

Two-dimensional (2D) materials with both auxetic effect and ferroelasticity are rare, however, have great potential applications in next generation microelectromechanical and nanoelectronic devices. Here, we report the findings of an extraordinary combination half-auxetic effect and ferroelasticity in a single p2mm-type TiSe monolayer by performing first-principles calculations. The unique half-auxetic effect, namely the material expand laterally under both uniaxial tensile strain, and compressive strain, is reported and explained by considering both the nearest and the next-nearest interactions. The ferroelasticity is stemming from the degeneracy breaking of the 3d-orbitals of Ti atoms in a distorted tetrahedron crystal field, or the so-called Jahn-Teller effect. The results provide a guideline for the future design of novel two-dimensional multiple functional materials at the nanoscale.

3.
Acta Biomater ; 2021 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-33444793

RESUMO

Tendon injuries are common diseases. The healing capacity of tendon is limited due to its special composition of extra-cellular matrix and hypocellularity and hypovascularity. The purpose of this study was to evaluate the effectiveness of nanoparticle-coated sutures carrying growth factors for accelerating tendon repair. A variety of experimental methods had been used to investigate the characteristics and therapeutic effects of the modified sutures. Nanoparticles could adhere uniformly to the surface of the suture through polydopamine. Even sutured in the tendon, most of nanoparticles were still remained on the surface of suture, and the loaded proteins could spread into the tendon tissues. In vivo study, the ultimate strength of repaired tendons treated with bFGF and VEGFA-releasing sutures was significantly greater than the tendons repaired with control sutures at multiple time-points, whether in the chicken model of flexor tendon injury or the rat model of Achilles tendon injury. At week 6, the adhesion score in the bFGF and VEGFA-releasing suture group was significantly lower than those of the control suture group. Tendon gliding excursion was significantly longer in the bFGF and VEGFA-releasing suture group than that in the control bare sutures. Work of digital flexion was significantly decreased in the bFGF and VEGFA-releasing suture group. In a word, we developed a platform for local and continuous delivery of growth factors based on the nanoparticle-coated sutures, which could effectively deliver growth factors to tissues and control the release of growth factors. This growth factors delivery system is an attractive therapeutic tool to repair injured tendons.

4.
Artigo em Inglês | MEDLINE | ID: mdl-33415737

RESUMO

The extensively developed ene-type enantioselective cycloisomerization of classical 1,6- and 1,7-enynes provides an efficient approach to chiral cyclic 1,4-dienes. In contrast, catalytic asymmetric heteroarenyne (heteroarene-alkyne) cycloisomerization involving dearomative transformation of endocyclic aromatic C=C bonds remains unknown. Herein, we communicate a PdH-catalyzed enantioselective heteroarenyne cycloisomerization reaction of alkyne-tethered indole substrates (formal 1,5- and 1,6-enynes). Based on this strategy, a variety of structurally diverse chiral spiro- and fused- indoline derivatives bearing quaternary stereocenters and exocyclic C=C bonds are afforded in moderate to excellent yields and excellent enantioselectivities (up to 98% ee). The classical ene-type enantioselective 1,5-enyne cycloisomerization of N -vinylpropiolamides is also developed to afford chiral 2-pyrrolones in good to excellent ee values.

5.
Int J Biol Macromol ; 167: 659-666, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33278439

RESUMO

In the present study, we fabricated a glycol chitosan/oxidized hyaluronic acid hydrogel film with promising potential for the dual ophthalmic delivery of dexamethasone (Dex) and levofloxacin (Lev). Utilizing different oxidation degrees of oxidized hyaluronic acid (OHA), several blank hydrogel films and Lev-loaded hydrogel films were successfully fabricated. With an increase in the oxidation degree of OHA, the swelling ratio of the hydrogel films decreased accordingly. The hydrogel films displayed a stepwise release of Lev and Dex, with Lev rapidly released from the hydrogel film, followed by a sustained release of Dex. Lev-loaded hydrogel films revealed a potent capacity to inhibit bacterial growth in different bacterial strains. In lipopolysaccharide-activated RAW264.7 macrophages, the formulated hydrogel films displayed potent in vitro anti-inflammatory activity by significantly downregulating various inflammatory cytokines. Overall, the fabricated hydrogel film acting as a dual drug delivery system might be a promising vehicle for the treatment of postoperative endophthalmitis.

6.
J Environ Manage ; 279: 111599, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33189421

RESUMO

Although nitrogen (N) is a limiting factor for food production (FP) in Africa, and African food security is seriously threatened by the phenomenon of soil N depletion, there is a dearth of information that shows the points to focus on throughout the chain of FP and food consumption (FC) in all African countries to minimize N loss while securing food N supply. Food N footprint (NF) is an indicator for tracing the losses of reactive N (Nr) with regard to the FP and FC chain. This is the first study to calculate the food NF for all African countries under fertilized and unfertilized farms, by calculating two sets of virtual N factors (VNFs; kg Nr released to the environment kg-1 N in consumed product): one for unfertilized farms (the unfertilized scenario) and one for fertilized farms (the fertilized scenario). The fertilized and unfertilized VNFs were utilized to calculate a weighted average set of VNFs (the combined scenario). From the percentage of farms that utilize N fertilizer, and the N percentage in production that comes from soil depletion, the proportion used for the combined scenario was determined. Soil N depletion factors (SNDFs; kg N taken from the unfertilized soil kg-1 N in food consumed) were also computed to identify the quantity of N extracted from the soil for food production. We have also provided the changes in N inputs, N outputs, and N use efficiency (NUE) for North Africa and Sub-Saharan Africa (SSA) during the last 57 years. The average total N input to croplands increased from 24 and 19 kg N ha-1 yr-1 in 1961-1965 to 100 and 42 kg N ha-1 yr-1 in 2010-2017 for North Africa and SSA, respectively. The NUE declined from 109% and 67% (1961-1965) to 47% and 63% (2010-2017) for North Africa and SSA, respectively. The total average per-capita food NF was 11 and 5.8 kg N cap-1 yr-1 in unfertilized farms; 21 and 14 kg N cap-1 yr-1 in fertilized farms; and 19 and 7.5 kg N cap-1 yr-1 under the combined scenario for North Africa and SSA, respectively. Vegetable-fruit and beef have the highest SDNFs in Africa. FP in Africa contributes approximately 70% of the total food NF. Therefore, if possible, the best way for Africans to reduce soil N depletion and N emissions is to encourage the production and consumption of livestock and crops products with less VNF and SNDF. However, African people do not have this luxury of choice because of poverty and ignorance. Therefore, African policy-makers must adopt integrated approaches that provide effective tools to control the production of animals and crops in conjunction with the improvement of NUE. Trying to completely change the African agricultural system is impossible, but strategies must be developed to reduce soil depletion in a gradual way, as well as a shift towards low-VNF foods.


Assuntos
Fertilizantes , Nitrogênio , África ao Sul do Saara , África do Norte , Agricultura , Animais , Bovinos , Fazendas , Fertilizantes/análise , Humanos , Nitrogênio/análise , Solo
7.
J Hazard Mater ; 403: 123977, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33265017

RESUMO

Elastic biomass aerogels have attracted widespread attention but are seriously hindered by environmentally unfriendly cross-linkers and fire hazards for functional applications. This study outlines the fabrication of a fully bio-based, low fire-hazard and superelastic aerogel without any cross-linkers for excellent thermal insulation and oil absorption, via creating highly oriented wave-shaped layer microstructures and subsequently depositing nonflammable siloxane coating on the surface of the aerogel skeleton. The resultant environmental-safety aerogel showed the combined advantages of anisotropic super-elasticity, hydrophobicity, low density and high flame retardancy (limiting oxygen index value of 42%, UL-94 V-0 rating, and extremely low heat release), thus leading to many benefits for solving environmental hazards. For instance, this fire-safety biomass aerogel can be used as the high-performance thermal insulator with low thermal conductivity and high shielding efficiency. The aerogel also exhibited a great selectively oil clean-up absorption with a high absorption capacity of 117 times its own weight and excellent recyclability. Especially, due to the highly oriented microstructures, the aerogel as a filter showed the fastest separation rates of oil/water mixture (flux rate of 145.78 L h-1 g-1) ever reported. Such a method of preparing super-elastic biomass aerogels will provide new insights into their multifunctional applications with high environmental safety.

8.
Sci Total Environ ; 752: 141964, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-32892055

RESUMO

The current study presents the first nitrogen (N) and phosphorus (P) footprints calculator for Sub-Saharan Africa during 1961-2017 using an adjusted N-Calculator model, by calculating two sets of virtual N factors (VNFs) or virtual P factors (VPFs): one for fertilized farms and one for unfertilized farms. We furthermore calculated the future food footprints of N (NF) and P (PF) under five scenarios include: 1) business as usual [BAU], 2) achieve an equitable diet (EqD) while the plant N and P uptake and all other food losses would be constant at 2017 level [S1], 3) follow the EqD without any changes in plant N and P uptake, but the current ratio of other food losses would increase by 50% [S2], 4) follow the EqD with a 5% less in plant N and P uptake than the current ratio, and the current ratio of other food losses would increase by 50% [S3], and 5) follow the EqD with a 10% greater in plant N and P uptake than the current ratio, while the current ratio of other food losses would decrease by 50% [S4]. NF (kg N cap-1 yr-1) and PF (kg P cap-1 yr-1) increased from 6.7 and 1.1 to 8.3 and 1.5 during 1961-2017, respectively. The national NF (Tg N yr-1) and PF (Tg P yr-1) increased from 1.6 and 0.26 to 7.7 and 1.4, respectively. In 2050, NF would be 9.7, 21.7, 24.1, 27.7, and 15.5 kg N cap-1 yr-1 for the BAU, S1, S2, S3, and S4 scenarios, respectively. While, PF would be 1.8, 5.1, 5.6, 7.3, and 3.0 kg P cap-1 yr-1, respectively. S4 scenario results in much less NF and PF. We suggest applying the S4 scenario with a change of dietary style by reducing the foods consumption with high VNFs and VPFs by 2050.

9.
J Ethnopharmacol ; 266: 113283, 2021 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-32827659

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Zhi-zi-chi decoction (ZZCD) is used for treating depression as an effectively traditional Chinese medicine. Until now, studies on pharmacological research of ZZCD have mostly been centered in pharmacokinetic level. Little was known about its pharmacological mechanism of relieving depression. AIM OF THE STUDY: This study was to evaluate the effect of ZZCD on relieving depression via behavioral tests, serum metabolomics and signaling target expression analysis on chronic unpredictable mild stress (CUMS) model mice. MATERIALS AND METHODS: The CUMS exposure lasted 7 consecutive weeks. The mice were administrated with ZZCD for the last 3 weeks. Behavioral tests were applied and a serum metabolomics method based on UFLC/Q-TOF-MS with multivariate statistical and global metabolic network analysis was performed to identify relevant metabolites and pathways. Finally, the protein expressions in mouse hippocampi were determined by western blot to verify the metabolomics deduction. RESULTS: Behavioral parameters were visibly changed after modeling, while high and medium dosage groups showed status improvement compared to the model group. Seventy six metabolites were identified as potential biomarkers from the metabolomics profiles in C18 and HILIC systems. In addition, 9 significant pathways related to changed biomarkers were conducted. The pathways were closely connected by some key targets, which were significantly reduced in the model group compared with those in control group, while ZZCD treated groups showed corrections after 3-week administration. The results revealed that the anti-depression efficacy of ZZCD might be associated with PKA-CREB-BDNF-TrkB-PSD-95 pathway influenced by metabolic changes, verifying the pathway annotation speculation. CONCLUSION: This study demonstrated that ZZCD had a positive treatment effect on CUMS depression model mice. Metabolomics results revealed the holistic and interconnected metabolic changes of ZZCD in CUMS mice. The metabolic pathway annotation suggested that the anti-depression mechanism of ZZCD might be related to signaling pathway in brain. PKA-CREB-BDNF-TrkB-PSD-95 signaling expression was a verification and complement to the metabolomics results.

10.
World Neurosurg ; 2020 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-33326857

RESUMO

OBJECTIVE: We sought to develop a model to predict the risk of small intracranial aneurysm (SIA; ≤5 mm) rupture among Chinese adults and to compare the score predicted by our model with the PHASES (population, hypertension, age, size, earlier subarachnoid hemorrhage, aneurysm site) score. METHODS: From August 2011 to June 2015, 366 patients with 394 SIAs were retrospectively evaluated and followed up for ≥5 years. The clinical characteristics of the patients were reviewed from their medical records, and the SIA features were evaluated from the imaging studies. The independent risk factors for SIA rupture were studied using multiple Cox proportional hazards regression analysis. The diagnostic value of the PHASES score for the prediction of SIA rupture was also calculated. RESULTS: Six SIAs in 6 different patients had ruptured during a mean follow-up of 6.4 years. An irregular shape (odds ratio [OR], 31.464), a high aspect ratio (OR, 40.573), and a high size ratio (OR, 20.541) increased the risk of rupture. The predictive score incorporated these three factors. The threshold was 1.5, and the area under the curve, sensitivity, and specificity were 0.986, 100%, and 94.6%, respectively. For the PHASES score, the area under the curve, sensitivity, and specificity were 0.702, 83.3%, and 62.1%, respectively. CONCLUSIONS: An irregular shape, a high aspect ratio, and a high size ratio were associated with SIA rupture in the Chinese population. Our predictive score is of great value in predicting the risk of SIA rupture.

11.
J Investig Med ; 2020 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-33361401

RESUMO

China has experienced an outbreak of COVID-19 since December 2019. This study investigated the differences between the imported and local cases of COVID-19 in Nanyang, China. In this study, a total of 129 COVID-19 confirmed cases with a clear epidemiological history admitted to hospitals in Nanyang from January 24 to February 26, 2020 were enrolled. Patients who had a travel history to or a residence history in Wuhan or in the surrounding areas in Hubei Province within 14 days before the illness onset were assigned to the imported group (n=70), and the others were assigned to the local group (n=59). The differences in epidemiological characteristics, clinical features, laboratory and imaging results, and prognosis were compared between the 2 groups. The early diagnosed cases were mainly imported cases, and the later diagnosed ones were mainly local cases. The most common first symptom was fever; moderate fever was commonly seen in imported cases whereas low fever was commonly seen in local cases. Lymphocyte counts in the imported group were lower than those in the local group. The imported group showed more advanced and severe abnormalities in the CT scan whereas the local group showed milder pulmonary abnormalities. The proportion of severe and critically severe patients in the imported group was higher than that in the local group. In conclusion, the imported cases have more severe or critically severe patients with a higher mortality rate than the local cases.

12.
Int J Mol Sci ; 21(24)2020 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-33334082

RESUMO

Cornus officinalis, widely used in traditional Chinese medicine, exhibits pharmacological effects against erectile dysfunction and pollakisuria, which are pathological symptoms of benign prostatic hyperplasia (BPH). Although traditional usage and a study on BPH have been reported, to our knowledge, no study has investigated the exact molecular mechanism(s) underlying the anti-proliferative effects of standardized C. officinalis on prostatic cells. We standardized C. officinalis 30% ethanol extract (COFE) and demonstrated the therapeutic effects of COFE on human BPH epithelial cells and testosterone-induced BPH in rats. In vitro studies using BPH-1 cells demonstrated an upregulation of BPH-related and E2F Transcription Factor 1(E2F1)-dependent cell cycle markers, whereas treatment with COFE clearly inhibited the proliferation of BPH epithelial cells and reduced the overexpression of G1 and S checkpoint genes. Additionally, COFE administration alleviated the androgen-dependent prostatic enlargement in a testosterone-induced BPH animal model. COFE exerted these anti-BPH effects by the inhibition of anti-apoptotic markers, suppression of PCNA expression, and regulation of E2F1/pRB-dependent cell cycle markers in rats with BPH. These results suggest that COFE exerts anti-proliferative effect by regulating PCNA/E2F1-dependent cell cycle signaling pathway both in vivo and in vitro. These findings reveal the therapeutic potential of COFE, which could be used as a substitute for BPH treatment.

13.
Mediators Inflamm ; 2020: 8827527, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33380901

RESUMO

Multiple sclerosis (MS) is an autoimmune inflammatory disease. Inflammatory infiltrates and demyelination of the CNS are the major characteristics of MS and its related animal model-experimental autoimmune encephalomyelitis (EAE). Immoderate autoimmune responses of Th17 cells and dysfunction of Treg cells critically contribute to the pathogenesis of MS and EAE. Our previous study showed that Ginsenoside Rd effectively ameliorated the clinical severity in EAE mice, but the mechanism remains unclear. In this study, we investigated the therapeutic effect of Ginsenoside Rd on EAE in vivo and in vitro and also explored the potential mechanisms for alleviating the injury of EAE. The results indicated that Ginsenoside Rd was effective for the treatment of EAE in mice and splenocytes. Ginsenoside Rd treatment on EAE mice ameliorated the severity of EAE and attenuated the characteristic signs of disease. Ginsenoside Rd displayed the therapeutic function to EAE by modulating inflammation and autoimmunity, via the downregulation of related proinflammatory cytokines IL-6 and IL-17, upregulation of inhibitory cytokines TGF-ß and IL-10, and modulation of Treg/Th17 imbalance. And the Foxp3/RORγt/JAK2/STAT3 signaling was found to be associated with this protective function. In addition, analysis of gut microbiota showed that Ginsenoside Rd also had modulation potential on gut microbiota in EAE mice. Based on this study, we hypothesize that Ginsenoside Rd could be a potential and promising agent for the treatment of MS.

14.
IEEE Trans Med Imaging ; PP2020 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-33382649

RESUMO

Interactive segmentation has recently been explored to effectively and efficiently harvest high-quality segmentation masks by iteratively incorporating user hints. While iterative in nature, most existing interactive segmentation methods tend to ignore the dynamics of successive interactions and take each interaction independently. We here propose to model iterative interactive image segmentation with a Markov decision process (MDP) and solve it with reinforcement learning (RL) where each voxel is treated as an agent. Considering the large exploration space for voxel-wise prediction and the dependence among neighboring voxels for the segmentation tasks, multi-agent reinforcement learning is adopted, where the voxel-level policy is shared among agents. Considering that boundary voxels are more important for segmentation, we further introduce a boundary-aware reward, which consists of a global reward in the form of relative cross-entropy gain, to update the policy in a constrained direction, and a boundary reward in the form of relative weight, to emphasize the correctness of boundary predictions. To combine the advantages of different types of interactions, i.e., simple and efficient for point-clicking, and stable and robust for scribbles, we propose a supervoxel-clicking based interaction design. Experimental results on four benchmark datasets have shown that the proposed method significantly outperforms the state-of-the-arts, with the advantage of fewer interactions, higher accuracy, and enhanced robustness.

15.
Artigo em Inglês | MEDLINE | ID: mdl-33270436

RESUMO

Graphene bubbles (GBs) are of significant interest owing to their distinguished electrical, optical, and magnetic properties. GBs can also serve as high-pressure reaction vessels to numerous chemical reactions. However, previous strategies to produce GBs are relatively elaborate and random. Therefore, their potential applications are severely restricted. Here, a facile and effective protocol is proposed to construct position-controllable GBs in liquid nitrogen (LN) with the assistance of laser and graphene wrinkles. Specifically, a film of graphene mounted on a SiO2 substrate (G@SiO2) is subjected to irradiation by a low-power laser in LN and then many GBs emerge from the surface of G@SiO2. Most impressively, the domain where GBs arise is the position of the laser beam spot. Hence, we demonstrated that the high collimation of laser facilitates the position definition of GBs. The microscopic results indicate that some GBs split into three parts when they were subjected to irradiation by an electron. Meanwhile, some GBs degenerate into pores with a diameter of 500 nm when they are exposed to air. To grasp the properties of GBs in depth, the molecular dynamics (MD) simulations are performed, and the corresponding results indicate that temperature has very little impact on the GBs' shape. A phase transition process of the substance inside GBs is also revealed. Moreover, a two-dimensional (2D) solid nitrogen is discovered by MD simulations. The simplicity of our protocol paves the way to engineer high-pressure microreaction vessels and fabricate porous graphene membranes.

16.
Artigo em Inglês | MEDLINE | ID: mdl-33300792

RESUMO

A new class of semiconductor photonic crystals composed of titanium dioxide (TiO2)-functionalized nanoporous anodic alumina (NAA) broadband-distributed Bragg reflectors (BDBRs) for visible-light-driven photocatalysis is presented. NAA-BDBRs produced by double exponential pulse anodization (DEPA) show well-resolved, spectrally tunable, broad photonic stop bands (PSBs), the width of which can be precisely tuned from 70 ± 6 to 153 ± 9 nm (in air) by progressive modification of the anodization period in the input DEPA profile. Photocatalytic efficiency of TiO2-NAA-BDBRs with tunable PSB width upon visible-NIR illumination is studied using three model photodegradation reactions of organics with absorbance bands across the visible spectral regions. Analysis of these reactions allows us to elucidate the interplay of spectral distance between red edge of TiO2-NAA-BDBRs' PSB, electronic bandgap, and absorbance band of model organics in harnessing visible photons for photocatalysis. Photodegradation reaction efficiency is optimal when the PSB's red edge is spectrally close to the electronic bandgap of the functional semiconductor coating. Photocatalytic performance decreases dramatically when the red edge of the PSB is shifted toward visible wavelengths. However, a photocatalytic recovery is observed when the PSB's red edge is judiciously positioned within the proximity of the absorption band of model organics, indicating that TiO2-NAA-BDBRs can harness visible electromagnetic waves to speed up photocatalytic reactions by drastically slowing the group velocity of incident photons at specific spectral regions. Our advances provide new opportunities to better understand and engineer light-matter interactions for photocatalysis, using TiO2-NAA-BDBRs as model nanoporous semiconductor platforms. These high-performing photocatalysts could find broad applicability in visible-NIR light harvesting for environmental remediation, green energy generation, and chemical synthesis.

18.
Artigo em Inglês | MEDLINE | ID: mdl-33273163

RESUMO

OBJECTIVE: The aim of the study was to assess the peripheral rim instability and the clinical value of discoid meniscus. METHODS: We retrospectively studied 79 magnetic resonance imaging (MRI) examinations of discoid meniscus from May 2017 to September 2019. The patient symptoms and physical findings were documented. The patients underwent "dedicated" 0.25 T supine and weight-bearing MRI examination. Finally, all patients underwent arthroscopy. RESULTS: Sound/clicking during motion (P = 0.009) and limited extension (P = 0.044) of subjective symptoms, clunk during motion (P = 0.035), and flexion contracture (P = 0.012) of physical findings were significant predictors of peripheral rim instability. The comparison of the weight-bearing MRI with the supine position MRI demonstrated that the disformed discoid meniscus was shifted significantly and that no shift was displaced centrally (P = 0.001). A correlation between discoid meniscal displacement and the presence of peripheral rim instability in arthroscopy was noted (P < 0.001) using weight-bearing MRI. CONCLUSIONS: The clinical symptoms of the patients combined with weight-bearing MRI can determine peripheral rim instability optimally.

19.
Artigo em Inglês | MEDLINE | ID: mdl-33204292

RESUMO

Oxidative stress of endothelial cells is thought to be a principal cause that induces many cardiovascular diseases. Hydroxysafflor yellow A (HSYA) is a major active component in traditional Chinese medicine safflower and has been used to cure ischemic cardiovascular diseases in China for many years. This study aims to investigate whether HSYA has a repairing effect on oxidative damage of human umbilical vein endothelial cells (HUVECs) induced by H2O2 and to provide a theoretical basis for the clinical treatment of cardiovascular diseases related to traditional Chinese medicine. Based on the establishment of an H2O2-induced HUVEC oxidative injury model, the cell viability and proliferation rate were measured by the MTT assay and EdU staining. The intracellular GSH/GSSG ratio and SOD activity were determined by kits. The ROS level was detected by flow cytometry. And the BAX, Bcl-2, PTEN, and AKT expressions were evaluated with western blotting methods. The results showed that HSYA treatment significantly attenuated the H2O2-induced HUVEC cell damage, increased the intracellular GSH/GSSG ratio and unit SOD activity also, and decreased the intracellular ROS levels. Furthermore, HSYA increased the expressions of AKT and Bcl-2 proteins and inhibited the expressions of BAX and PTEN proteins. These suggest that HSYA exerts repair effects on H2O2-induced oxidative damage in HUVECs, and the mechanisms may be related to the influence of BAX/Bcl-2 expression and AKT/PTEN signal pathway expression.

20.
Medicine (Baltimore) ; 99(47): e23267, 2020 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-33217853

RESUMO

INTRODUCTION: Mature cystic teratoma originating in the pancreas is very unusual, often observed as an incidental finding during routine examinations or recognized perioperatively as the patients present with very unspecific clinical symptoms. The confirmatory diagnosis of a pancreatic cystic teratoma is generally made by histopathology after surgical excision. So, the preoperative diagnosis is very challenging, especially differentiation from the other pancreatic pathologies. PATIENT CONCERNS: A 23-year-old woman was admitted to our hospital with a complaint of mild grade periumbilical abdominal pain. A pancreatic mass was revealed on a preliminary abdominal ultrasound examination. Her medical history was unremarkable with no long-standing illness or malignancy. DIAGNOSIS: Mature cystic teratoma in the head of the pancreas. INTERVENTIONS: Roux-enY choledochojejunostomy with gastrojejunostomy was performed, excising the tumor from the pancreatic head. OUTCOMES: The postoperative course was uneventful; the patient was asymptomatic and has no evidence of recurrence on a 2-year follow up. CONCLUSIONS: Pancreatic cystic teratoma is a benign, well-differentiated, and extremely rare congenital tumor. MRI is the choice of imaging modality and phase-GRE or fat suppression is the best technique for pre-operative diagnosis.


Assuntos
Neoplasias Pancreáticas/diagnóstico , Teratoma/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Adulto Jovem
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