Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.776
Filtrar
1.
Chemosphere ; 286(Pt 2): 131781, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34365165

RESUMO

Removal of nitrogen from wastewater with low carbon/nitrogen ratio was treated by using a denitrification packed bed reactor. Composite fillers with both autotrophic and heterotrophic denitrification capacity were prepared by mixing melted polycaprolactone and elemental sulfur at various alkalinity ratios (heterotrophic to autotrophic ratios of 1:2, 1:1, 3:2, and 2:1). Optimum denitrification was achieved at a ratio of 2:1. The diversity of the microbial community in the biofilm on the surface of the composite fillers showed that the increase of the elemental sulfur in the composite fillers has led to the increase of the microbial abundance. Furthermore, biofilm composition developed from a single dominant species to multiple species, and genes related to sulfur metabolism increased while those related to denitrification decreased slightly.


Assuntos
Nitrogênio , Purificação da Água , Processos Autotróficos , Reatores Biológicos , Carbono , Desnitrificação , Nitratos
2.
Spectrochim Acta A Mol Biomol Spectrosc ; 264: 120285, 2022 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-34455375

RESUMO

Formaldehyde (FA) is widely applied as a fixative for proteins such as collagen. Current studies have confirmed that the reversible oligomer-to-monomer equilibrium of FA in aqueous solution and the proportion of FA monomer is a significant factor affecting tissue fixation. Since the hydrolysis of FA oligomers is a dynamic process affected jointly by different factors, its real time monitoring has proved to be challenging. In this work, by utilizing the well-established Raman technique as an analytical platform, we identified the factors affecting the hydrolysis of FA oligomers by rationally examining the νs (OCO) and νas (OCO) modes with varying conditions, such as time, pH, temperature, and FA concentration. The optimized conditions of the highest hydrolysis rate of oligomers into monomers for fixation on collagen and tissues have been found to be relatively low FA concentration (≤5%) in phosphate-buffered saline at pH 9.0 in room temperature. In order to compare the fixation quality of the optimized conditions to that of the conventional conditions used by current medical practices (4% FA concentration in tap water under room temperature), Raman spectroscopy and chemical derivatization methods with o-phthalaldehyde and fluorescent probe FAP-1 have been investigated, and our results revealed that the FA molecules under our optimized conditions have reacted with at least 15% more amino groups within collagen compared to those under the conventional conditions mentioned above. This study provides direct evidence of the FA equilibrium in solution by Raman spectroscopy, which could be applied for the optimal use of FA in medicine, even at an industrial scale.


Assuntos
Corantes Fluorescentes , Formaldeído , Colágeno , Hidrólise , Fixação de Tecidos
3.
Genome Biol ; 22(1): 326, 2021 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-34847934

RESUMO

BACKGROUND: Polyploidy, especially allopolyploidy, which entails merging divergent genomes via hybridization and whole-genome duplication (WGD), is a major route to speciation in plants. The duplication among the parental genomes (subgenomes) often leads to one subgenome becoming dominant over the other(s), resulting in subgenome asymmetry in gene content and expression. Polyploid wheats are allopolyploids with most genes present in two (tetraploid) or three (hexaploid) functional copies, which commonly show subgenome expression asymmetry. It is unknown whether a similar subgenome asymmetry exists during translation. We aim to address this key biological question and explore the major contributing factors to subgenome translation asymmetry. RESULTS: Here, we obtain the first tetraploid wheat translatome and reveal that subgenome expression asymmetry exists at the translational level. We further perform in vivo RNA structure profiling to obtain the wheat RNA structure landscape and find that mRNA structure has a strong impact on translation, independent of GC content. We discover a previously uncharacterized contribution of RNA structure in subgenome translation asymmetry. We identify 3564 single-nucleotide variations (SNVs) across the transcriptomes between the two tetraploid wheat subgenomes, which induce large RNA structure disparities. These SNVs are highly conserved within durum wheat cultivars but are divergent in both domesticated and wild emmer wheat. CONCLUSIONS: We successfully determine both the translatome and in vivo RNA structurome in tetraploid wheat. We reveal that RNA structure serves as an important modulator of translational subgenome expression asymmetry in polyploids. Our work provides a new perspective for molecular breeding of major polyploid crops.

4.
Oncoimmunology ; 10(1): 1995166, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34745768

RESUMO

Plasma extracellular vesicles (EVs) have been reported to be a promising source of diagnostic and prognostic biomarkers in various cancers. However, further research in this area is needed due to the limitations of circulating extracellular vesicles detection methods. Using the Single Molecule array (SiMoa) technology, we developed two extracellular vesicle detection assays, CD9-CD63 and PD-L1-CD63, to determine circulating universal EVs and PD-L1 positive EVs, respectively. A total of 164 diffuse large B-cell lymphoma (DLBCL) patients were retrospectively included in this study. Compared with healthy volunteers (n = 25), elevated CD9-CD63 and PD-L1-CD63 signals were detected in the plasma of DLBCL patients (n = 164). High CD9-CD63 signals was associated with molecular subtype, extranodal site and treatment response in DLBCL. A high PD-L1-CD63 signal was also associated with certain clinical features, including extranodal site and treatment response. CD9-CD63 and PD-L1-CD63 signals were found to be important prognostic factors for both progression-free and overall survival. Furthermore, PD-L1-positive EVs were found in all patients, though PD-L1 protein expression was positive in only 35.4% (17/48) of tumor biopsies. No correlation was found between circulating PD-L1+ EVs and soluble PD-L1 (sPD-L1) levels. Our results show that plasma universal EV and PD-L1-positive EV levels are significantly elevated in DLBCL and might serve as biomarkers for predicting survival outcomes in DLBCL patients.

5.
Innovation (N Y) ; 2(4): 100168, 2021 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-34746905

RESUMO

Electro-responsive actuators (ERAs) hold great promise for cutting-edge applications in e-skins, soft robots, unmanned flight, and in vivo surgery devices due to the advantages of fast response, precise control, programmable deformation, and the ease of integration with control circuits. Recently, considering the excellent physical/chemical/mechanical properties (e.g., high carrier mobility, strong mechanical strength, outstanding thermal conductivity, high specific surface area, flexibility, and transparency), graphene and its derivatives have emerged as an appealing material in developing ERAs. In this review, we have summarized the recent advances in graphene-based ERAs. Typical the working mechanisms of graphene ERAs have been introduced. Design principles and working performance of three typical types of graphene ERAs (e.g., electrostatic actuators, electrothermal actuators, and ionic actuators) have been comprehensively summarized. Besides, emerging applications of graphene ERAs, including artificial muscles, bionic robots, human-soft actuators interaction, and other smart devices, have been reviewed. At last, the current challenges and future perspectives of graphene ERAs are discussed.

6.
Bioengineered ; 2021 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-34752201

RESUMO

BACKGROUND: RAS p21 protein activator 4 (RASA4) has been recognised as a Ca2+-promoted Ras-MAPK pathway suppressor that inhibits tumour growth. However, the role of RASA4 in cervical squamous cell carcinoma (CESC) remains unclear. METHODS: The mRNA levels of RASA4 were analysed using the GEO and GEPIA databases. Kaplan-Meier analysis and ROC analyses were conducted to determine the prognostic and diagnostic values for patients from the TCGA-CSCE cohort. The CCK8 and colony assays were performed to assess the impact of RASA4 ectopic expression and gene inactivation on tumour cell proliferation. In vivo experiments were performed. Luciferase reporter assays and LW6 (a HIFα inhibitor) were employed to verify the regulatory relationship between RASA4 and the HIFa signalling pathway. RESULTS: The GEPIA and GEO database analysis demonstrated poorly expressed RASA4 in the CESC tissues relative to that in the noncancerous tissues. Based on the TCGA database, poorly expressed RASA4 signified high prognostic and diagnostic values. Ectopically expressed RASA4 weakened the proliferative potential of HeLa cells, whereas RASA4 genetic inactivation produced the opposite impact in the HeLa and C-33A cells. The promoting effect of RASA4 deficiency on tumourigenesis was also recorded in vivo. Subsequently, RASA4 negatively regulated the HIFα-driven luciferase activities and weakened the expression of survivin. Meanwhile, LW6 treatment abrogated the increased proliferation of HeLa cells, as well as the increased expression of survivin by RASA4 depletion. CONCLUSION: Our findings indicated that RASA4 can inhibit the proliferation of cervical cancer cells by inactivating the HIFα signalling pathway, suggesting novel prospects for targeted therapy against CESC.

7.
Mil Med Res ; 8(1): 56, 2021 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-34743730

RESUMO

Targeting immune checkpoints has achieved great therapeutic effects in the treatment of early-stage tumors. However, most patients develop adaptive resistance to this therapy. The latest evidence demonstrates that tumor-derived exosomes may play a key role in systemic immune suppression and tumor progression. In this article, we highlight the role of exosomal immune checkpoint proteins in tumor immunity, with an emphasis on programmed death ligand 1 (PD-L1) and cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), as well as emerging evidence on roles of T cell immunoglobulin-3 (TIM-3), arginase 1 (ARG1), and estrogen receptor binding fragment-associated antigen 9 (EBAG9) expressed by exosomes.

8.
Thorac Cancer ; 2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34761878

RESUMO

Neoadjuvant chemoimmunotherapy has demonstrated improved efficacy and prognosis in stage IIa-IIIb patients with non-small cell lung cancer (NSCLC). Drug-induced sarcoidosis-like reaction (DISR), an autoimmune reaction, has been reported as a type of immune-related adverse event that may mimic disease progression. Here, we report the case of patient with NSCLC who developed DISR during neoadjuvant chemoimmunotherapy and finally achieved pathological complete response after surgery.

9.
Zhongguo Zhong Yao Za Zhi ; 46(19): 5137-5143, 2021 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-34738412

RESUMO

Mongolians have a long history of using prescriptions, which can be classified into four stages as follows: the germination and experience accumulation stage before the 13 th century, the theoretical formation stage from the 13 th to 16 th century, the rapid development stage from the 17 th to 20 th century, and the leaping development stage from the mid-20 th century to the present. The prescriptions from the ancient classical or representative medical books have always been used by Mongolian physicians for generations, and they are still in use due to the definite curative effects. In 2008, the Notice on Issuing the Supplementary Provisions to the Registration and Management of Traditional Chinese Medicine(TCM) described that China has attached more importance to the excavation and development of classical prescriptions. As stipulated in the Law of the People's Republic of China on Traditional Chinese Medicine, the classical prescriptions should be those available in ancient TCM classics and still in wide use, with exact curative effects, distinct features, and obvious advantages. This paper expounded the historical formation and development of classical prescriptions in Mongo-lian medicine, introduced the five most influential ancient medical books revealing the formation and development of these classic prescriptions, and traced the origin of such classical prescriptions as Wenguanmu Siwei Decoction, Shouzhangshen Bawei Decoction, Jianghuang Siwei Decoction and summarized the origin, development history and characteristics of classical prescriptions in Mongolian medicine, aiming to provide a reference for their further research and development.


Assuntos
Medicamentos de Ervas Chinesas , Livros , China , Humanos , Medicina Tradicional Chinesa , Medicina Tradicional da Mongólia , Prescrições
10.
PLoS One ; 16(11): e0255666, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34752472

RESUMO

We examine the learning effects of borrowers' failures in online lending. Based on funding ratios of borrowers' loan listings in online lending, we first explore the role of failure degree in borrowers' future funding performance. Further, we disaggregate borrowers' funding failure into complete failure and incomplete failure, and compare theirs learning effects. Using a large sample of 610,000 online loan applications over six years from a Chinese leading online lending platform Renrendai, we use funding ratio to quantifiably measure each loan listing's failure degree and conduct a series of tests. The results show that: (1) Borrowers' failure degree of prior loan applications is negatively associated with one's subsequent funding performance. (2) Borrowers' complete failure cannot promote learning, while incomplete failure is good for future performance. (3) Both incomplete failure and complete failure interacted to influence the value of each type of experience and generate improved learning. Our results are robust across a variety of settings. The study sheds light for deeply understanding of failure learning phenomenon, and can also provide important implications for online lending managers to support successful financial transactions.

11.
Artigo em Inglês | MEDLINE | ID: mdl-34770157

RESUMO

OBJECTIVE: To compare the effects of continuous energy restriction (CER) and intermittent energy restriction (IER) in bodyweight loss plan in sedentary individuals with normal bodyweight and explore the influence factors of effect and individual retention. METHODS: 26 participants were recruited in this randomized controlled and double-blinded trial and allocated to CER and IER groups. Bodyweight (BW), body mass index (BMI), and resting metabolic rate (RMR) would be collected before and after a 4-week (28 days) plan which included energy restriction (CER or IER) and moderate-intensity exercise. Daily intake of three major nutrients (protein, carbohydrate, fat) and calories were recorded. RESULTS: A significant decrease in BW and BMI were reported within each group. No statistically significant difference in the change of RMR in CERG. No statistically significant difference was reported in the effect between groups, neither as well the intake of total calories, three major nutrients, and individual plan retention. The influence factors of IER and CER are different. CONCLUSION: Both CER and IER are effective and safe energy restriction strategies in the short term. Daily energy intake and physical exercise are important to both IER and CER.


Assuntos
Restrição Calórica , Dieta Redutora , Peso Corporal , Ingestão de Energia , Humanos , Perda de Peso
12.
Pharmacol Res ; 174: 105971, 2021 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-34763093

RESUMO

Rosacea is a common chronic inflammatory disease that affects the middle of the face. Due to the unclear pathogenesis, the effective treatment options for rosacea remain limited. In this study, weighted gene co-expression network analyses (WGCNA) identified three rosacea-related hub modules, which were involved in immune-, metabolic- and development- related signaling pathways. Next, the key genes from green and brown modules were submitted to CMap database for drug prediction and metformin was identified as a candidate drug for rosacea. Moreover, network pharmacology analysis identified pharmacological targets of metformin and demonstrated that metformin could help in treating rosacea partly by modulating inflammatory and angiogenesis signaling pathways. Finally, we verified the therapeutic role and mechanism of metformin on rosacea in vivo and vitro. We found that metformin treatment significantly improved rosacea-like skin lesions including immune cells infiltration, cytokines/chemokines expression and angiogenesis. Moreover, metformin suppressed LL37- and TNF-α-induced the ROS production and MAPK-NF-κB signal activation in keratinocytes cells. In conclusion, our findings identified and verified metformin as a novel therapeutic candidate for rosacea, and it alleviates the pathological symptoms, possibly by suppressing inflammatory responses, angiogenesis in rosacea.

13.
Mater Horiz ; 8(8): 2293-2302, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34846433

RESUMO

A visible-blind ultraviolet (UV) photodetector can detect UV signals and is not interfered with by visible light or infrared light in the environment. In order to realize high-performance visible-blind UV organic photodetectors (OPDs), we design photomultiplication-type (PM-type) OPDs by using a novel strategy. Firstly, wide bandgap organic semiconductor materials, which do not absorb visible light, are selected as donors to absorb UV light. Secondly, a very small amount of C60 is used as an acceptor to trap photogenerated electrons. These accumulating electrons near the Al electrode form a potential, which leads to band bending and narrowing of the interface barrier, thereby assisting hole-tunneling injection to form a multiplication. The fabricated visible-blind UV PM-type OPDs with donor/acceptor doping ratio of 50 : 1 exhibit a narrowband response with full-width at half-maximum (FWHM) of approximately 36 nm, an ultrahigh external quantum efficiency of 1.08 × 106% and a remarkable specific detectivity of 1.28 × 1014 jones at 335 nm wavelength under -14 V bias. The UV-to-visible rejection ratio exceeds 103 by adjusting the donor/acceptor mixing ratios. The devices made with other wide bandgap organic materials also showed similar performance, indicating that this device structure provides an effective method for the preparation of high-performance visible-blind UV PM-type OPDs. In addition, we prepared a flexible visible-blind UV PM-type OPD based on a PET substrate and integrated it with a flexible OLED to fabricate a wearable UV monitor, which can visually detect the intensity of UV light.

14.
Complement Ther Clin Pract ; 46: 101510, 2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34749040

RESUMO

BACKGROUND: Many middle-aged and older adults have more than one chronic health condition. It is therefore important to explore the effectiveness of interventions for multiple chronic conditions. Tai Chi is widely used in China and other countries, and many studies have examined the effect of Tai Chi on anxiety and depression. However, there are no systematic reviews of the effect of Tai Chi on anxiety and depression in various chronic conditions. This systematic review and meta-analysis aimed to evaluate the effects of Tai Chi on anxiety and depression symptoms in four chronic conditions: cancer, stroke, heart failure (HF), and chronic obstructive pulmonary disease (COPD). METHODS: We searched Chinese and English databases (Cochrane Library, PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), Wanfang Database, and Sinomed) from inception to October 2020. Review Manager version 5.2 and Stata version 12.0 were used to perform a systematic review. The quality of the included studies was evaluated using the Cochrane risk of bias tool. The study was registered with the PROSPERO database (number CRD42020209594). RESULTS: Of the 596 studies identified, we included 25 randomized controlled trials involving 1819 participants. Combined analysis of the four diseases showed statistically significant differences between the Tai Chi and control groups for anxiety symptoms (SMD -0.99, 95%CI: -1.5, -0.47; P < 0.01) and depressive symptoms (SMD 0.70, 95%CI: -1.01, -0.39; P < 0.01). Subgroup analyses showed statistically significant differences between the Tai Chi and control groups for depressive symptoms in stroke (SMD -0.43, 95%CI: -0.67, -0.18; P < 0.01) and HF (SMD -0.57, 95%CI: -0.8, -0.33; P < 0.01). However, no statistically significant differences were found for depressive symptoms in COPD or cancer. There were statistically significant differences between the Tai Chi and control groups for anxiety symptoms in stroke (SMD -0.60, 95%CI: -0.88, -0.32; P < 0.01) and cancer (SMD -0.69, 95%CI: -1.22, -0.17; P < 0.01), but not in COPD or HF. Subgroup, sensitivity, meta regression, and publication bias analyses showed high heterogeneity correlated with a single study and study quality. Sensitivity analysis showed that most meta-analysis results had good stability, but those for anxiety symptoms in COPD were unstable; therefore, careful interpretation is required. CONCLUSION: Tai Chi has a positive effect on anxiety and depression, especially for patients with cancer, stroke, and HF. However, given the weak evidence, this approach is not a substitute for psychiatric treatment.

16.
Zhongguo Ying Yong Sheng Li Xue Za Zhi ; 37(5): 557-560, 2021 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-34816673

RESUMO

Objective: To investigate the effects of Butylphthalide (NBP) on airway mucus hypersecretion, interleukin-13 (IL-13) and tumor necrosis factor-α (TNF-α) in asthmatic mice. Methods: The mice were randomly divided into control group, asthma group, DEX group and high, medium and low doses of NBP (100, 50, 25 mg/kg) groups (n=12). Ovalbumin (OVA) injection was sensitized on the 1st, 8th, and 15th day of the experiment, and OVA was inhaled on the 22nd day to stimulate for 5 weeks to replicate the asthma model, and 20 mg/kg of NBP was given for intervention before the challenge. Finally, the asthma behavior, the secretion of goblet cells and Mucin 5ac (Muc5ac)were observed, and meanwhile the viscosity of bronchoalveolar lavage fluid (BALF) and the levels of Muc5ac, IL-13 and TNF-α in BALF were measured by ELISA. Results: Compared with the control group, the degree of sneezing, nose scratching and asthma, the proliferation of airway epithelial goblet cells and secretion of Muc5ac in the asthma group were increased significantly (P<0.01), meanwhile, the viscosity of BALF and the contents of Muc5ac, IL-13 and TNF-α were also increased significantly (P<0.01). Compared with the asthma group, the above behavioral scores of asthma were decreased significantly (P<0.01) after the intervention of 25, 50 and 100 mg/kg NBP, as well as the proliferation of airway epithelial goblet cells, secretion of Muc5ac, the viscosity of BALF and the contents of Muc5ac, IL-13 and TNF-α were significantly lower than those of the asthma group (P<0.05, 0.01). Conclusion: NBP has the effect of anti-asthma by inhibiting mucus hypersecretion, and one of its mechanisms is to alleviate the abnormal expressions of IL-13 and TNF-α.


Assuntos
Asma , Interleucina-13 , Animais , Asma/induzido quimicamente , Asma/tratamento farmacológico , Benzofuranos , Líquido da Lavagem Broncoalveolar , Modelos Animais de Doenças , Pulmão , Camundongos , Camundongos Endogâmicos BALB C , Muco , Ovalbumina , Fator de Necrose Tumoral alfa
17.
Gland Surg ; 10(10): 2945-2955, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34804882

RESUMO

Background: Perioperative glycemic status after pancreatic surgery has never been described. However, it's essential for optimal perioperative glucose management and understanding the pathogenesis of new-onset diabetes mellitus (NODM) after pancreatectomy. Continuous glucose monitoring (CGM) system provides us a helpful tool for closely monitoring and studying perioperative glucose change. This study tried to describe and compare perioperative glucose level and glycemic variability between different types of pancreatic surgeries via CGM device. Methods: This study was designed as a prospective observational study. Eighteen patients were enrolled and were grouped by different types of surgery received: control group (CTRL), pancreaticoduodenectomy (PD), distal pancreatectomy (DP), and total pancreatectomy (TP). CGM devices were implanted and initiated right after the surgery. Mean glucose value (MGV), coefficient of variation (CV), mean of daily difference (MODD), continuous overall net glycemic action (CONGA), and time above range (TAR)/time below range (TBR) was compared between groups to assess glucose level and glycemic variability. Results: TP showed the highest MGV and CV among all groups (P<0.001), while CTRL showed the lowest (P<0.001). PD and DP had similar MGV and CV lower than TP but higher than CTRL (P<0.001). TP had the highest MODD and CONGA, CTRL had the lowest, but no significant differences were found between groups. TP had the highest TAR (24.29%) and the lowest TBR (1.28%), while the control group showed the opposite. The differences in TAR/TBR between groups were all significant (P<0.05). Conclusions: TP had the highest mean glucose level and the greatest glycemic variability. PD and DP had similar results: a higher mean glucose level than control but lower than TP. For glycemic variability, PD and DP seemed to have a near-normal result resembling the control group. CGM is useful for glucose monitoring in the perioperative management of pancreatic surgery.

18.
Front Pediatr ; 9: 745212, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34805042

RESUMO

Background : Acupuncture has been considered as a complementary or alternative therapy for children with tic disorders (TD), but its efficacy remains largely unknown. This study retrospectively examined the efficacy of acupuncture treatment for TD in children over the course of 12 weeks. Methods: Data were collected from Traditional Chinese Medicine clinics in a public pediatric hospital in Shanghai between June 2020 and March 2021. A total of 250 patients with TD were included in the study, with 122 patients exposed to acupuncture therapy combined with conventional treatment (observation group), and 128 patients exposed to conventional treatment alone (control group). Propensity score matching analyses were used to balance baseline characteristics, resulting in 78 matched patients for each group. Reductions in the Yale Global Tic Severity Scale (YGTSS) total score were analyzed in the two groups after 12 weeks of treatment. Results: The two groups reached equilibrium in terms of baseline demographic characteristics and YGTSS total score after the propensity score matching (P > 0.05). Compared to the control group, the reduction in the YGTSS total score after 12 weeks of treatment was greater for the observation group (OR = 2.94, 95% CI: 1.03, 8.39, P = 0.04), and this association was stronger for patients who had significant vocal tics (ß = 0.29, 95% CI: 0.88, 2.68, P = 0.001). The clinical efficacy for the observation group was significantly better than the control group. Conclusions: We provided preliminary evidence supporting the therapeutic effect of acupuncture for TD in children. Hence, our findings indicate that acupuncture could be an adjuvant treatment efficacious for TD in children, especially for vocal tics.

19.
Clin Interv Aging ; 16: 1943-1953, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34754183

RESUMO

Purpose: This study was undertaken to investigate the relationship between bisphosphonate use and intraoperative blood loss following surgery for metastatic spinal disease. Methods: We retrospectively analyzed cancer patients who were treated by metastatic spinal tumor surgery at our institution. Recorded data included intraoperative blood loss, timing and duration of bisphosphonate use, and other important confounding factors. We showed the results of crude model, minimally adjusted model, and fully adjusted model to fully observe the effects of bisphosphonates under different adjustment strategies. The timing and duration of bisphosphonate exposure were assessed and statistical results were tested to identify a trend. Results: A total of 467 patients were treated by metastatic spinal tumor surgery, with or without bisphosphonate treatments. In all adjustment strategies, intraoperative blood loss was lower in patients using bisphosphonates than in patients without bisphosphonate treatments. In the fully adjusted model, the effect size, confidence interval, and p value were -246.4, -447.0 to -45.8, and 0.017, respectively. In terms of duration, all three models showed the same duration-response relationship: a longer duration of bisphosphonate use accurately predicted a smaller amount of blood loss (p for trend <0.001). We observed an interaction between operative time and bisphosphonate use, the effect size in the bottom tertile group was significantly smaller than that in the other two groups. Conclusion: We found that the preoperative use of bisphosphonates could reduce the amount of intraoperative blood loss during metastatic spinal tumor surgery, especially for surgery with longer operative time.


Assuntos
Neoplasias , Doenças da Coluna Vertebral , Perda Sanguínea Cirúrgica/prevenção & controle , Difosfonatos/uso terapêutico , Humanos , Estudos Retrospectivos
20.
Appl Opt ; 60(31): 9624-9633, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34807143

RESUMO

The fuel assembly is the core component of the nuclear energy system, and its excessive deformation will affect the normal insertion of the fuel rod and endanger safe operation of the reactor. In this paper, we present an underwater fuel assembly deformation measurement system based on 10 sets of visual measurement units. Benefitting from the waterproof design, the shielding-radiation design, the reflective structure design, the dual-optical line laser triangulation principle, and the underwater multilayer refractive geometry, the measurement system has shorter measurement time, higher measurement accuracy, and better environmental adaptability. Through the underwater field measurement and verification of the standard rod and fuel assembly, the bow deformation measurement accuracy of the measurement system is better than 0.3 mm, and the twist deformation measurement accuracy of the system is better than 0.15°. The proposed method allows transient and high-precision measurement in a certain irradiation dose and certain depth water, which provides a strong guarantee for measurement of fuel assembly deformation parameters in deep water and high radiation.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...