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1.
Molecules ; 28(2)2023 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-36677816

RESUMO

A significant emission enhancement (>100-fold) of glutathione-capped bimetallic gold and copper nanoclusters (AuCuNC@GSH) was achieved by assembling with Al3+ ions and by assembly-induced emission enhancement (AIEE). Further chelation of myricetin to Al3+ resulted in emission quenching of AuCuNC-Al3+, which was applied to specifically detect myricetin. Two linear responses were shown in the range of 0-1.5 µM and 1.5-50 µM, separately, leading to a low limit of detection at 8.7 nM. The method was successfully and accurately applied to myricetin determination in grape juice, which showed good application for real samples. Finally, the in-depth mechanism revealed that both the chelation of myricetin and Al3+ and the inner filter effect (IFE) between myricetin-Al3+ and AuCuNC-Al3+ greatly contributed to the quenching response of myricetin. Therefore, the present study provides an easy way to improve the fluorescence property of metal nanoclusters. Additionally, it supplies a cost-effective and easily performed approach to detect myricetin with high selectivity and sensitivity.


Assuntos
Cobre , Nanopartículas Metálicas , Ouro , Espectrometria de Fluorescência , Glutationa , Íons , Corantes Fluorescentes , Limite de Detecção
2.
Anal Chim Acta ; 1243: 340814, 2023 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-36697177

RESUMO

As a representative flavonoid, morin exhibits multi-biological activities, but its abuse endangers human health. Developing advanced technology for morin determination is urgently needed. In this study, a dual-responsive approach was reported for morin based on the complexing of carbon quantum dots (CQDs) and polyethyleneimine (PEI). The CQDs were fabricated via an improved hydrothermal method employing tyrosine and malic acid. Binding with PEI induced an 8-fold emission enhancement and a slight red-shift to 445 nm of CQDs because of the complexing of PEI and CQDs. Further morin introduction led to the blue emission (445 nm) quenching of CQDs-PEI and a yellow emission (560 nm) generation, which contributed a ratiometric fluorescence approach for morin determination between 2.0 and 32 µM, with a limit of detection (LOD) of 45 nM. Meanwhile, under sunlight the color of CQDs-PEI became yellow upon morin addition, which developed a colorimetric method for morin determination in a wide range between 2.0 and 100 µM (LOD = 69 nM). The developed dual-responsive method either displayed accurate results for morin in diluted human and bovine serum, being potential for actual sample analysis. Finally, a visual detection based on the smartphone was constructed and applied for the real-time determination of morin.


Assuntos
Pontos Quânticos , Humanos , Carbono , Colorimetria/métodos , Polietilenoimina , Limite de Detecção , Corantes Fluorescentes
4.
J Pain ; 2023 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-36641029

RESUMO

Systemic lupus erythematosus (SLE) is an unpredictable autoimmune disease where the body's immune system mistakenly attacks healthy tissues in many parts of the body. Chronic pain is one of the most frequently reported symptoms among SLE patients. We previously reported that MRL lupus prone (MRL/lpr) mice develop hypersensitivity to mechanical and heat stimulation. In the present study, we found that the spinal protease-activated receptor-1(PAR1) plays an important role in the genesis of chronic pain in MRL/lpr mice. Female MRL/lpr mice with chronic pain had activation of astrocytes, over-expression of thrombin and PAR1, enhanced glutamatergic synaptic activity, as well as suppressed activity of adenosine monophosphate-activated protein kinase (AMPK) and glial glutamate transport function in the spinal cord. Intrathecal injection of either the PAR1 antagonist, or AMPK activator attenuated heat hyperalgesia and mechanical allodynia in MRL/lpr mice. Furthermore, we also identified that the enhanced glutamatergic synaptic activity and suppressed activity of glial glutamate transporters in the spinal dorsal horn of MRL/lpr mice are caused by activation of the PAR1 and suppression of AMPK signaling pathways. These findings suggest that targeting the PAR1and AMPK signaling pathways in the spinal cord may be a useful approach for treating chronic pain caused by SLE.

5.
Clin Interv Aging ; 18: 1-11, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36628327

RESUMO

Purpose: Many older patients with acute myocardial infarction (AMI) have impaired ability for activities of daily living (ADL). Impaired ADL leads to poor prognosis in elderly patients. The Global Registry of Acute Coronary Events (GRACE) score is widely used for risk stratification in AMI patients but does not consider physical performance, which is an important prognosis predictor for older adults. This study assessed whether the Barthel Index (BI) score combine the GRACE score would achieve improved one-year mortality prediction in older AMI patients. Patients and Methods: This single-center retrospective study included 688 AMI patients aged ≥65 years who were divided into an impaired ADL group (BI ≤60, n = 102) and a normal ADL group (BI >60, n = 586) based on BI scores at discharge. The participants were followed up for one year. Cox survival models were constructed for BI score, GRACE score, and BI score combined GRACE score for one-year mortality prediction. Results: Patients had a mean age of 76.29 ± 7.42 years, and 399 were men (58%). A lower BI score was associated with more years of hypertension and diabetes, less revascularization, longer hospital stays, and higher one-year mortality after discharge. Multivariable Cox regression analysis identified BI as a significant risk factor for one-year mortality in older AMI patients (HR 0.977, 95% CI, 0.963-0.992, P = 0.002). BI (0.774, 95% CI: 0.731-0.818) and GRACE (0.758, 95% CI: 0.704-0.812) scores had similar predictive power, but their combination outperformed either score alone (0.810, 95% CI: 0.770-0.851). Conclusion: BI at discharge is a significant risk factor for one-year mortality in older AMI patients, which can be better predicted by the combination of BI and GRACE scores.


Assuntos
Infarto do Miocárdio , Alta do Paciente , Masculino , Idoso , Humanos , Idoso de 80 Anos ou mais , Feminino , Estudos Retrospectivos , Atividades Cotidianas , Medição de Risco , Prognóstico , Fatores de Risco , Sistema de Registros
6.
Europace ; 2023 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-36603845

RESUMO

AIMS: The aim of this study was to estimate the global burden of atrial fibrillation (AF)/atrial flutter (AFL) and its attributable risk factors from 1990 to 2019. METHODS AND RESULTS: The data on AF/AFL were retrieved from the Global Burden of Disease Study (GBD) 2019. Incidence, disability-adjusted life years (DALYs), and deaths were metrics used to measure AF/AFL burden. The population attributable fractions (PAFs) were used to calculate the percentage contributions of major potential risk factors to age-standardized AF/AFL death. The analysis was performed between 1990 and 2019. Globally, in 2019, there were 4.7 million [95% uncertainty interval (UI): 3.6 to 6.0] incident cases, 8.4 million (95% UI: 6.7 to 10.5) DALYs cases, and 0.32 million (95% UI: 0.27 to 0.36) deaths of AF/AFL. The burden of AF/AFL in 2019 and their temporal trends from 1990 to 2019 varied widely due to gender, Socio-Demographic Index (SDI) quintile, and geographical location. Among all potential risk factors, age-standardized AF/AFL death worldwide in 2019 were primarily attributable to high systolic blood pressure [34.0% (95% UI: 27.3 to 41.0)], followed by high body mass index [20.2% (95% UI: 11.2 to 31.2)], alcohol use [7.4% (95% UI: 5.8 to 9.0)], smoking [4.3% (95% UI: 2.9 to 5.9)], diet high in sodium [4.2% (95% UI: 0.8 to 10.5)], and lead exposure [2.3% (95% UI: 1.3 to 3.4)]. CONCLUSION: Our study showed that AF/AFL is still a major public health concern. Despite the advancements in the prevention and treatment of AF/AFL, especially in regions in the relatively SDI quintile, the burden of AF/AFL in regions in lower SDI quintile is increasing. Since AF/AFL is largely preventable and treatable, there is an urgent need to implement more cost-effective strategies and interventions to address modifiable risk factors, especially in regions with high or increased AF/AFL burden.

7.
Intern Emerg Med ; 18(1): 67-76, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36539602

RESUMO

To assess the efficacy of modified hydration on contrast-associated acute kidney injury (CA-AKI) in ST-segment elevation myocardial infarction (STEMI) after primary percutaneous coronary intervention (pPCI). A total of 438 patients were randomly assigned to 2 groups. The traditional hydration group (group I) was given at a rate of 1 ml/kg/h for 24 h, and the modified hydration group (group II) was given at a rate of 3 ml/kg/h in the first 4 h, and then reduced to 1 ml/kg/h for 12 h. 0.3 mg/kg of furosemide was given 1-h after hydration. The primary endpoint was the incidence of CA-AKI, and the secondary endpoint was the incidence of major adverse cardiovascular events (MACEs) during a median of 22.4 months (IQR 9.6, 32.6 months) follow-up. The incidence of CA-AKI was 8.7%. Among these, Group I was 9.1% and group II was 8.2%, respectively. There was no significant difference in CA-AKI and creatinine levels between the two hydration groups. Multivariable logistics regression analysis revealed that creatinine, white blood cells, and N-terminal pro-B-type natriuretic peptide were associated with CA-AKI. Moreover, CA-AKI was an independent predictor for all-cause death and cardiac death during the follow-up period. The modified hydration may reduce the incidence of CA-AKI, although this difference was not statistically significant. The relationship between CA-AKI and mortality strengthened as creatinine times above baseline increased. Mitigating the occurrence of CA-AKI may reduce all-cause death and cardiac death.

8.
J Diabetes Complications ; 37(1): 108381, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36566606

RESUMO

BACKGROUND: Impaired glycolipid metabolism can induce vascular injury and plaque formation. It is important to investigate the associations between carotid plaque progression and lipid-lowering goal achievement and cardiovascular disease. METHODS: Diabetic patients who underwent at least 2 carotid ultrasound scans with intervals ≥0.5 years and were hospitalized in the Department of Endocrinology at Sun Yat-sen Memorial Hospital were included. Patients were divided into 3 groups based on carotid plaque progression: the persistent plaque absence, new-onset plaque and persistent plaque presence groups. The primary outcomes were CHD and stroke, while the secondary outcomes were low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (non-HDL-C) goal achievement. RESULTS: There were 304 diabetic patients included, with a median follow-up period of 2.15 years. In multivariable logistic regression analysis, persistent plaque presence was positively associated with a 2.285-fold increase in coronary heart disease (CHD) prevalence, while new-onset plaque was associated with a 3.225-fold increase in stroke prevalence compared to persistent plaque absence in patients with follow-up periods ≥ 0.5 years. The association remained significant in patients with a follow-up period ≥ 1 year and ≥2 years. The velocity of average plaque length change was independently associated with increased ΔLDL-C (last - goal) (ß = 0.073, P = 0.048). CONCLUSION: Carotid plaque progression had long-term association with CHD and stroke starting from 0.5 years, while the velocity of average plaque length associated with increased ΔLDL-C (last - goal) might reflect patient response to statins. Repeated carotid plaque measurements might guide lipid-lowering therapies.


Assuntos
Doenças Cardiovasculares , Transtornos Cerebrovasculares , Diabetes Mellitus , Placa Aterosclerótica , Acidente Vascular Cerebral , Humanos , LDL-Colesterol , Objetivos , Estudos Retrospectivos , HDL-Colesterol , Colesterol , Placa Aterosclerótica/complicações , Placa Aterosclerótica/diagnóstico por imagem , Placa Aterosclerótica/epidemiologia , Lipoproteínas , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/etiologia , Fatores de Risco
9.
Med Image Anal ; 84: 102680, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36481607

RESUMO

In this work, we report the set-up and results of the Liver Tumor Segmentation Benchmark (LiTS), which was organized in conjunction with the IEEE International Symposium on Biomedical Imaging (ISBI) 2017 and the International Conferences on Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2017 and 2018. The image dataset is diverse and contains primary and secondary tumors with varied sizes and appearances with various lesion-to-background levels (hyper-/hypo-dense), created in collaboration with seven hospitals and research institutions. Seventy-five submitted liver and liver tumor segmentation algorithms were trained on a set of 131 computed tomography (CT) volumes and were tested on 70 unseen test images acquired from different patients. We found that not a single algorithm performed best for both liver and liver tumors in the three events. The best liver segmentation algorithm achieved a Dice score of 0.963, whereas, for tumor segmentation, the best algorithms achieved Dices scores of 0.674 (ISBI 2017), 0.702 (MICCAI 2017), and 0.739 (MICCAI 2018). Retrospectively, we performed additional analysis on liver tumor detection and revealed that not all top-performing segmentation algorithms worked well for tumor detection. The best liver tumor detection method achieved a lesion-wise recall of 0.458 (ISBI 2017), 0.515 (MICCAI 2017), and 0.554 (MICCAI 2018), indicating the need for further research. LiTS remains an active benchmark and resource for research, e.g., contributing the liver-related segmentation tasks in http://medicaldecathlon.com/. In addition, both data and online evaluation are accessible via https://competitions.codalab.org/competitions/17094.


Assuntos
Benchmarking , Neoplasias Hepáticas , Humanos , Estudos Retrospectivos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/patologia , Fígado/diagnóstico por imagem , Fígado/patologia , Algoritmos , Processamento de Imagem Assistida por Computador/métodos
10.
Biochemistry ; 62(2): 462-475, 2023 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-36577516

RESUMO

Ribosomally synthesized and post-translationally modified peptides (RiPPs) are natural products with remarkable chemical and functional diversities. These peptides are often synthesized as signals or antibiotics and frequently associated with quorum sensing (QS) systems. With the increasing number of available genomes, many hitherto unseen RiPP biosynthetic pathways have been mined, providing new resources for novel bioactive compounds. Herein, we investigated the underexplored biosynthetic potential of Streptococci, prevalent bacteria in mammal-microbiomes that include pathogenic, mutualistic, and commensal members. Using the transcription factor-centric genome mining strategy, we discovered a new family of lanthipeptide biosynthetic loci under the control of potential QS. By in vitro studies, we investigated the reaction of one of these lanthipeptide synthetases and found that it installs only one lanthionine moiety onto its short precursor peptide by connecting a conserved TxxC region. Bioinformatics and in vitro studies revealed that these lanthipeptide synthetases (class VI) are novel lanthipeptide synthetases with a truncated lyase, a kinase, and a truncated cyclase domain. Our data provide important insights into the processing and evolution of lanthipeptide synthetase to tailor smaller substrates. The data are important for obtaining a mechanistic understanding of the post-translational biosynthesis machinery of the growing variety of lanthipeptides.


Assuntos
Produtos Biológicos , Ligases , Ligases/metabolismo , Produtos Biológicos/metabolismo , Peptídeos/química , Antibacterianos/metabolismo , Ribossomos/metabolismo , Processamento de Proteína Pós-Traducional
11.
Medicine (Baltimore) ; 101(47): e31523, 2022 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-36451486

RESUMO

To analyze the change trend of life expectancy, the change trend of premature death due to 4 major chronic diseases, and its impact on the life expectancy of Wuhai residents from 2015 to 2020, and to provide evidence for the prevention and control of chronic diseases in this area. The data on population death comes from the Wuhai City Residents' Causes of Death Network Reporting System and the total population is calculated using statistics from Wuhai City's permanent population management, from 2015 to 2020. Premature mortality from the 4 main chronic illnesses was calculated using the abridged life table approach. The impact of premature death from chronic diseases on life expectancy was analyzed using the Arriaga method. The increasing trend of life expectancy of Wuhai citizens was not statistically significant from 2015 to 2020 (t = 2.570, P = .062). Each year, men had a lower life expectancy than women (P < .05). From 2015 to 2020, the downward trend of premature deaths caused by the 4 major non-communicable diseases in Wuhai City was statistically significant (EAPC = -7.74%, P = .041). Premature death from cancer and chronic respiratory disorders decreased, both of which were statistically significant (EAPC < 0, P < .05). The decline in premature mortality from cancer, cardiovascular and cerebrovascular disorders, and chronic respiratory system diseases has contributed to increased life expectancy. Diabetes's rise in premature mortality made a possible "negative contribution" to life expectancy (-0.036 years, -1.79%). From 2015 to 2020, the decreasing trend of the overall premature mortality caused by the 4 major non-communicable diseases in Wuhai was statistically significant, and the life expectancy of females was higher than that of males. We should concentrate on the prevention and control of major chronic illnesses in males, as well as the influence of changes in diabetes-related early mortality on life expectancy.


Assuntos
Mortalidade Prematura , Doenças não Transmissíveis , Masculino , Feminino , Humanos , Expectativa de Vida , Doença Crônica , China/epidemiologia
12.
J Transl Med ; 20(1): 565, 2022 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-36474298

RESUMO

BACKGROUND: Pharmacological modulation of cannabinoid 2 receptor (CB2R) is a promising therapeutic strategy for pulmonary fibrosis (PF). Thus, to develop CB2R selective ligands with new chemical space has attracted much research interests. This work aims to discover a novel CB2R agonist from an in-house library, and to evaluate its therapeutic effects on PF model, as well as to disclose the pharmacological mechanism. METHODS: Virtual screening was used to identify the candidate ligand for CB2R from a newly established in-house library. Both in vivo experiments on PF rat model and in vitro experiments on cells were performed to investigate the therapeutic effects of the lead compound and underlying mechanism. RESULTS: A "natural product-like" pyrano[2,3-b]pyridine derivative, YX-2102 was identified that bound to CB2R with high affinity. Intraperitoneal YX-2102 injections significantly ameliorated lung injury, inflammation and fibrosis in a rat model of PF induced by bleomycin (BLM). On one hand, YX-2102 inhibited inflammatory response at least partially through modulating macrophages polarization thereby exerting protective effects. Whereas, on the other hand, YX-2102 significantly upregulated CB2R expression in alveolar epithelial cells in vivo. Its pretreatment inhibited lung alveolar epithelial-to-mesenchymal transition (EMT) in vitro and PF model induced by transforming growth factor beta-1 (TGF-ß1) via a CB2 receptor-dependent pathway. Further studies suggested that the Nrf2-Smad7 pathway might be involved in. CONCLUSION: These findings suggest that CB2R is a potential target for PF treatment and YX-2102 is a promising CB2R agonist with new chemical space.

13.
J Agric Food Chem ; 2022 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-36458726

RESUMO

d-Allulose is a desirable sucrose substitute with potential applications in food and health care. d-Allulose can be synthesized using d-glucose as a substrate through coupling glucose isomerase with d-allulose 3-epimerase (DAEase); however, the product yield is typically less than 20% at reaction equilibrium and thus limits its use in industrial applications. Here, a 3R-ketose phosphorylation pathway coupled with an adenosine triphosphate (ATP) regeneration system was developed for the efficient synthesis of d-allulose in Escherichia coli using d-glucose as a substrate. The l-rhamnulose kinase (RhaB) was used to break the inherent reaction equilibrium due to its substrate specificity, resulting in increases in d-allulose titer by 69.9% to 4.96 ± 0.49 g/L. By optimizing the whole cell transformation conditions and designing an ATP regeneration module, d-allulose production reached 17.62 ± 0.77 g/L from 30 g/L d-glucose with a final yield of 0.73 g/g without the addition of exogenous ATP. To evaluate the potential industrial application of this multienzyme cascade system, d-allulose was produced from cane molasses (124.16 ± 2.69 g/L glucose equivalent) with a final d-allulose titer of 62.60 ± 3.76 g/L. The present study provides a practical enzymatic approach for the economical synthesis of d-allulose.

14.
Transl Vis Sci Technol ; 11(12): 4, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36458945

RESUMO

Purpose: To screen and compare the differential proteins in meibomian gland secretions between patients with blepharokeratoconjunctivitis (BKC) and healthy individuals and to identify target proteins that may participate in the occurrence and development of BKC. Methods: Thirteen patients diagnosed with BKC in Shenzhen Eye Hospital and five healthy volunteers were included in this study. Meibomian gland secretions and clinical traits were collected before and after 1 month of standard BKC treatment. Label-free mass spectrometry was used for proteomic detection of meibomian gland secretions. Weighted protein coexpression network analysis (WPCNA) and several different protein analyses were performed to identify hub proteins associated with BKC and its clinical characteristics. Results: Patients with BKC had significantly lower cleanliness of the eyelid margin, higher palpebral margin scores, more serious clinical manifestations of secretions, and more damaged meibomian gland morphology compared with the healthy controls. One hundred fifteen differential proteins were associated with the clinical traits, which included diagnosis, sex, age, severity, corneal neovascularization, disease course, eyelid margin cleanliness, palpebral margin score, secretion characteristics, and meibomian gland morphology. Four hub proteins related to inflammation and the immune response (namely, S100A8, S100A9, ANXA3, and LCN2) were increased in BKC and remained increased after 1 month of treatment. The cleanliness, blepharon eyelid score, and secretion characteristics were improved after BKC treatment. Conclusions: S100A8, S100A9, ANXA3, and LCN2 are BKC-associated proteins probably involved in the chronic inflammation of BKC. Translational Relevance: Hub proteins probably involved in chronic inflammation of BKC were identified by proteomic methods.


Assuntos
Glândulas Tarsais , Proteômica , Humanos , Secreções Corporais , Calgranulina A , Calgranulina B , Inflamação
15.
Rev. bras. med. esporte ; 28(6): 624-627, Nov.-Dec. 2022. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1376732

RESUMO

ABSTRACT Introduction The key objective of aerobic exercise is enhancing cardiorespiratory endurance. On the national gymnastics plan implementation, the idea of lifelong sports was gradually accepted by the masses, and the aerobic gymnastics concept was sweeping the world. Objective Analyze the cardiorespiratory endurance responses in female college students under different frequencies in aerobic exercise. Methods 20 female professors and civilian women were randomly selected and divided into two groups. The experimental group performed 45 and 90 minutes of aerobic exercise to analyze changes in cardiopulmonary function before and after each exercise. Results After 16 weeks of aerobic exercise with different loads, all young women who had participated in the program training showed a significant increase in vital capacity and maximal oxygen uptake capacity. The vital capacity of the 90-min aerobic exercise group was significantly higher than that of the 45-min aerobic exercise group (P<0.05). Conclusion The establishment of a cardiorespiratory endurance response model can accurately analyze the effects of different aerobic exercise frequencies on cardiorespiratory endurance. Evidence Level II; Therapeutic Studies - Investigating the results.


RESUMO Introdução O principal objetivo do exercício aeróbico é melhorar a resistência cardiorrespiratória. Com a implementação do plano nacional de ginástica, a ideia de esportes para toda a vida é gradualmente aceita pelas massas e o conceito de ginástica aeróbica está popularizando-se. Objetivo Analisar as respostas de resistência cardiorrespiratória em estudantes universitárias sob distintas frequências no exercício aeróbico. Métodos 20 jovens professoras e mulheres civis foram aleatoriamente selecionadas e divididas em dois grupos. O grupo experimental executou exercícios aeróbicos de 45 e 90 minutos, sob análise das alterações na função cardiopulmonar antes e depois de cada exercício. Resultados Após 16 semanas de exercício aeróbico com diferentes cargas, todas as mulheres jovens que participaram do treinamento mostraram um aumento significativo na capacidade vital e na capacidade máxima de absorção de oxigênio. A capacidade vital do grupo de exercícios aeróbicos de 90 minutos foi significativamente maior do que a do grupo de exercícios aeróbicos de 45 minutos (P<0,05). Conclusão O estabelecimento de um modelo de resposta de resistência cardiorrespiratória pode analisar com precisão os efeitos de diferentes frequências de exercício aeróbico sobre a resistência cardiorrespiratória. Nível de evidência II; Estudos Terapêuticos - Investigação de Resultados.


RESUMEN Introducción El objetivo principal del ejercicio aeróbico es mejorar la resistencia cardiorrespiratoria. Con la puesta en marcha del plan nacional de gimnasia, la idea de los deportes de por vida es gradualmente aceptada por las masas y el concepto de la gimnasia aeróbica está popularizándose en todo el mundo. Objetivo Analizar las respuestas de resistencia cardiorrespiratoria en estudiantes universitarias bajo diferentes frecuencias en el ejercicio aeróbico. Métodos Se seleccionaron al azar 20 profesoras jóvenes y mujeres civiles y se dividieron en dos grupos. El grupo experimental realizó ejercicios aeróbicos de 45 y 90 minutos, bajo el análisis de los cambios en la función cardiopulmonar antes y después de cada ejercicio. Resultados Tras 16 semanas de ejercicio aeróbico con diferentes cargas, todas las mujeres jóvenes que participaron en el entrenamiento mostraron un aumento significativo de la capacidad vital y de la capacidad máxima de captación de oxígeno. La capacidad vital del grupo de ejercicio aeróbico de 90 minutos fue significativamente mayor que la del grupo de ejercicio aeróbico de 45 minutos (P<0,05). Conclusión El establecimiento de un modelo de respuesta a la resistencia cardiorrespiratoria puede analizar con precisión los efectos de diferentes frecuencias de ejercicio aeróbico sobre la resistencia cardiorrespiratoria. Nivel de evidencia II; Estudios terapéuticos - Investigación de resultados.

16.
Nanomaterials (Basel) ; 12(23)2022 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-36500832

RESUMO

Palladium (Pd) nanostructures are highly active non-platinum anodic electrocatalysts in alkaline direct methanol fuel cells (DMFCs), and their electrocatalytic performance relies highly on their morphology and composition. This study reports the preparation, characterizations, and electrocatalytic properties of palladium-copper alloys loaded on the carbon support. XC-72 was used as a support, and hydrazine hydrate served as a reducing agent. PdxCuy/XC-72 nanoalloy catalysts were prepared in a one-step chemical reduction process with different ratios of Pd and Cu. A range of analytical techniques was used to characterize the microstructure and electronic properties of the catalysts, including transmission electron microscopy (TEM), X-ray diffractometry (XRD), X-ray photoelectron spectroscopy (XPS), and inductively coupled plasma emission spectroscopy (ICP-OES). Benefiting from excellent electronic structure, Pd3Cu2/XC-72 achieves higher mass activity enhancement and improves durability for MOR. Considering the simple synthesis, excellent activity, and long-term stability, PdxCuy/XC-72 anodic electrocatalysts will be highly promising in alkaline DMFCs.

17.
Front Cardiovasc Med ; 9: 1033959, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36505391

RESUMO

Background: Gallstone disease is a common gastrointestinal disorder, which has previously been reported to be associated with the incidence of cardiovascular disease. We aimed to investigate the association between gallstone disease and long-term outcomes in patients with acute coronary syndrome (ACS). Materials and methods: A total of consecutive 13,975 ACS patients were included in this analysis. Gallstone disease in our study included both gallstones and cholecystectomy. The primary endpoint was cardiac mortality. The secondary outcome was all-cause mortality. Relative risks were estimated using Cox proportional hazards regression. Results: During a median follow-up period of 2.96 years, 518 (4.2%) patients without gallstone disease and 62 (3.6%) patients in those with gallstone disease suffered cardiac death. After multivariable adjustment for established risk factors, subjects with gallstone disease had decreased risks of both cardiac mortality and all-cause mortality [hazard rate ratios (HR) = 0.72, 95% CI: 0.55-0.95 and HR = 0.75, 95% CI: 0.62-0.90, respectively]. In patients with performed cholecystectomy, the associations between gallstones and risks for cardiac mortality and all-cause mortality turned out to be non-significant. HRs varied across subgroups depending on the presence of selected established risk factors. Conclusion: Presence of gallstone disease was associated with a significantly decreased risk of follow-up mortality in patients with ACS.

18.
Heliyon ; 8(12): e12159, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36544837

RESUMO

To explore the hemodynamic changes of the superficial temporal artery in adult Moyamoya Disease (MMD) who underwent combined revascularization surgery. A number of 40 patients with MMD were enrolled, and all of them underwent a direct superficial temporal artery (STA)-middle cerebral artery (STA-MCA) bypass combined with an encephalo-duro-arterio-synangiosis (EDAS). Hemodynamic parameters were detected by Color Doppler Ultrasonography (CDUS) at the preoperative, perioperative and follow-up time, including peak systolic velocity (PSV), end-diastolic velocity (EDV) and resistance index (RI). The control group were selected randomly during the same period. Researchers applied the SPSS 21 to conduct the two-sample analysis, Chi-Squared test and one-way repeated measures ANOVA between groups. P < 0.05 was considered statistically significant. In this study, 21 males and 19 females with an average age of 44.9 years (Range 28 y-56 y) were enrolled in the MMD group. Among them, 21 patients (52.5%) had perioperative complications, and all symptoms were transient neurological dysfunctions. Intermittent speech disorder was the most common complication during the period of operation. The preoperative hemodynamic of STA showed no significant difference between MMD and the control group. The perioperative hemodynamics had significant carnages compared with preoperative, and there was a trend of fluctuation. The perioperative PSV in the group with complications was significantly higher than the group without complications, except for EDV and RI. In the follow-up ( X ¯ = 5 months), PSV (60.21 ± 22.24 cm/s, P = 0.712) showed no difference compared with baseline data, while EDV (25.12 ± 9.94 cm/s, P = 0.000) and RI (0.575 ± 0.092, P = 0.000) showed significant difference between MMD and control group. The blood flow spectrogram showed high resistance in preoperative, but most patients showed a low resistance pattern during the follow-up time. It was the first time to demonstrate that the hemodynamic changes of STA fluctuated significantly within one week and eventually remained stable after combined revascularization. The PSV may play a more important role in postoperative complications. In the follow-up, PSV had no significant difference, EDV increased significantly, and RI decreased significantly. The blood flow spectrogram mainly shows a low resistance pattern when the hemodynamic is stable.

19.
Front Cardiovasc Med ; 9: 1019945, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36568554

RESUMO

Background: Left ventricular thrombus (LVT) is a well-recognized complication of myocardial infarction (MI) in patients with diabetes. An embolic complication caused by LVT is a key clinical problem and is associated with worsened long-term survival. Case presentation: A 45-year-old man with persistent left abdominal pain for 1 week and left leg fatigue was admitted to the emergency department. The cause of abdominal pain was embolism of the renal artery, the splenic artery, and the superior mesenteric artery caused by cardiogenic thrombosis, which further led to splenic infarction and renal infarction. It was unclear when MI occurred because the patient had no typical critical chest pain, which may have been related to diabetic complications, such as diabetic peripheral neuropathy. Diabetes plays a pivotal role in MI and LVT formation. Because coronary angiography suggested triple vessel disease, percutaneous transluminal coronary angioplasty (PTCA) was conducted, and two drug-eluting stents were placed in the left anterior descending coronary artery (LAD). Due to a lack of randomized clinical control trials, the therapy of LVT and associated embolization has been actively debated. According to the present guidelines, this patient was treated with low-molecular-weight heparin and warfarin (oral anticoagulants) for 3 months in addition to aspirin (100 mg/day) and clopidogrel (75 mg/day) for 1 year. No serious bleeding complications were noted, and a follow-up examination showed no thrombus in the left ventricle or further peripheral thrombotic events. Conclusion: Peripheral embolization of LVT caused by MI leading to multiple organ embolization remains a rare occurrence. Diabetes plays a pivotal role in MI and LVT formation. Successful revascularization of the infarct-related coronary artery and anticoagulation therapy is important to minimize myocardial damage and prevent LVT. The present case will help clinicians recognize and manage LVT in patients with diabetes and related peripheral arterial thrombotic events with anticoagulation.

20.
Neuroimage Clin ; 37: 103286, 2022 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-36516730

RESUMO

The human claustrum is a gray matter structure in the white matter between insula and striatum. Previous analysis found altered claustrum microstructure in very preterm-born adults associated with lower cognitive performance. As the claustrum development is related to hypoxia-ischemia sensitive transient cell populations being at-risk in premature birth, we hypothesized that claustrum structure is already altered in preterm-born neonates. We studied anatomical and diffusion-weighted MRIs of 83 preterm- and 83 term-born neonates at term-equivalent age. Additionally, claustrum development was analyzed both in a spectrum of 377 term-born neonates and longitudinally in 53 preterm-born subjects. Data was provided by the developing Human Connectome Project. Claustrum development showed increasing volume, increasing fractional anisotropy (FA), and decreasing mean diffusivity (MD) around term both across term- and preterm-born neonates. Relative to term-born ones, preterm-born neonates had (i) increased absolute and relative claustrum volumes, both indicating increased cellular and/or extracellular matter and being in contrast to other subcortical gray matter regions of decreased volumes such as thalamus; (ii) lower claustrum FA and higher claustrum MD, pointing at increased extracellular matrix and impaired axonal integrity; and (iii) aberrant covariance between claustrum FA and MD, respectively, and that of distributed gray matter regions, hinting at relatively altered claustrum microstructure. Results together demonstrate specifically aberrant claustrum structure in preterm-born neonates, suggesting altered claustrum development in prematurity, potentially relevant for later cognitive performance.

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