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1.
Artigo em Inglês | MEDLINE | ID: mdl-34653596

RESUMO

Prostaglandins are a series of unsaturated fatty acids that play critical roles in regulating reproductive events. The prostaglandins endoperoxide H synthases-1/2 (PGHS-1/2; also named cyclooxygenases-1/2, COX-1/2) catalyse the commitment step in prostaglandin synthesis. However, the of the cox genes in teleosts, especially ovoviviparous teleosts, is still unclear. The aim of the present study was to determine the potential role of cox genes in mating and parturition behaviour using black rockfish (Sebastes schlegelii) as a model species. Two transcripts, cox1 and cox2, were cloned. The phylogenetic analysis results revealed that both cox genes were closely related to mammalian coxs. qPCR analyses of their tissue distribution showed that cox1 was mainly expressed in the heart in both sexes, while cox2 was mainly expressed in the testis and ovary. Detection of cox expression in samples from reproductive-related stages further showed that both cox genes may play important roles in mating and parturition processes. In situ hybridization further detected positive cox mRNA signals in the testis and ovary, where they are known to be involved in mating and parturition behaviour. These data suggest that cox1 and cox2 are crucial in inducing mating, gonad regeneration and parturition behaviour.

2.
J Cell Biol ; 221(1)2022 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-34813648

RESUMO

Primary cilia transduce diverse signals in embryonic development and adult tissues. Defective ciliogenesis results in a series of human disorders collectively known as ciliopathies. The CP110-CEP97 complex removal from the mother centriole is an early critical step for ciliogenesis, but the underlying mechanism for this step remains largely obscure. Here, we reveal that the linear ubiquitin chain assembly complex (LUBAC) plays an essential role in ciliogenesis by targeting the CP110-CEP97 complex. LUBAC specifically generates linear ubiquitin chains on CP110, which is required for CP110 removal from the mother centriole in ciliogenesis. We further identify that a pre-mRNA splicing factor, PRPF8, at the distal end of the mother centriole acts as the receptor of the linear ubiquitin chains to facilitate CP110 removal at the initial stage of ciliogenesis. Thus, our study reveals a direct mechanism of regulating CP110 removal in ciliogenesis and implicates the E3 ligase LUBAC as a potential therapy target of cilia-associated diseases, including ciliopathies and cancers.

3.
J Colloid Interface Sci ; 607(Pt 2): 2010-2018, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34798709

RESUMO

The development of high-performance humidity sensors is of great significance to explore their practical applications in the fields of environment, energy saving and safety monitoring. Herein, a flexible, non-contact and multifunctional humidity sensor based on two-dimensional Co-metal organic frameworks (Co-MOF) nanosheets is proposed, which is fabricated by simple bottom-up synthesis method. Furthermore, environmentally friendly, renewable and abundant biomass phytic acid (PA) is modified on the surface of Co-MOF nanosheets, which releases free protons being capable of etching the framework of MOF to improve the hydrophilicity and conductivity of MOF. Compared with Co-MOF-based sensor, the Co-MOF@PA-based sensor exhibits significantly enhanced sensitivity and broadened response range within 23-95% relative humidity (RH). The humidity sensor has an excellent humidity sensing response over 2 × 103. The Co-MOF@PA-based sensor shows good flexibility and humidity sensing properties, endowing it with multifunctional applications in real-time facial respiration monitoring, skin humidity perception, cosmetic moisturizing evaluation and fruit freshness testing. Four respiration patterns, including slow breath, deep breath, normal breath and fast breath are wirelessly monitored in real time by Co-MOF@PA-based sensor and recorded by mobile phone software. The research work presents potential applications in human-machine interactions (HMI) devices in future.


Assuntos
Estruturas Metalorgânicas , Humanos , Umidade , Interações Hidrofóbicas e Hidrofílicas , Ácido Fítico
4.
Gen Comp Endocrinol ; : 113947, 2021 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-34848189

RESUMO

Glucocorticoid receptors (GRs) are ligand-activated transcription factors associated with anti-inflammation, stress, metabolism and gonadal development. In this study, two gr genes (gr1 and gr2) were cloned and analyzed from a viviparous teleost, black rockfish (Sebastes schlegelii). The phylogenetic analysis of GRs showed that GR1 and GR2 clustered into teleost GR1 and GR2 separately and differed from the GRs of tetrapods or basal ray-finned fishes. Black rockfish GRs possess four modular domains of the nuclear receptor superfamily: an N-terminal domain (NTD), a DNA-binding domain (DBD), a hinge region (HR) and a ligand-binding domain (LBD). Nine conserved amino acid inserts were found in the GR1 DBD, and the ligand cavity-related amino acids of GR1 and GR2 LBD were slightly different. Tissue distribution analysis revealed that grs was widely expressed in various tissues, while cyp11b was mainly expressed in the testis and head kidney. The cyp11b transcripts were localized in the interrenal glands of the head kidney, the main source of cortisol; grs transcripts were detected in oocytes, the follicle layer and the ovarian wall. Histologically, significant blood vessel dilation was observed in the fetal membrane during or after parturition of black rockfish. The highest levels of serum cortisol and ovarian cyp11b mRNA were detected in parturition. In addition, the relative expression level of gr1 was upregulated significantly after delivery, while the levels of gr2 showed no significant change. In addition, in vitro GC treatment inhibited the expression of il1b but significantly upregulated the transcription of il1r1. These data provide evidence that GRs are likely to work as anti-inflammatory factors by inhibiting the functions of pro-inflammatory factors in the parturition of black rockfish.

5.
Signal Transduct Target Ther ; 6(1): 401, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34848680

RESUMO

Met tyrosine kinase, a receptor for a hepatocyte growth factor (HGF), plays a critical role in tumor growth, metastasis, and drug resistance. Mitochondria are highly dynamic and undergo fission and fusion to maintain a functional mitochondrial network. Dysregulated mitochondrial dynamics are responsible for the progression and metastasis of many cancers. Here, using structured illumination microscopy (SIM) and high spatial and temporal resolution live cell imaging, we identified mitochondrial trafficking of receptor tyrosine kinase Met. The contacts between activated Met kinase and mitochondria formed dramatically, and an intact HGF/Met axis was necessary for dysregulated mitochondrial fission and cancer cell movements. Mechanically, we found that Met directly phosphorylated outer mitochondrial membrane protein Fis1 at Tyr38 (Fis1 pY38). Fis1 pY38 promoted mitochondrial fission by recruiting the mitochondrial fission GTPase dynamin-related protein-1 (Drp1) to mitochondria. Fragmented mitochondria fueled actin filament remodeling and lamellipodia or invadopodia formation to facilitate cell metastasis in hepatocellular carcinoma (HCC) cells both in vitro and in vivo. These findings reveal a novel and noncanonical pathway of Met receptor tyrosine kinase in the regulation of mitochondrial activities, which may provide a therapeutic target for metastatic HCC.

6.
Infect Control Hosp Epidemiol ; : 1-24, 2021 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-34852866

RESUMO

OBJECTIVES: Describe cumulative seroprevalence of SARS-CoV-2 antibodies during the COVID-19 pandemic among employees of a large pediatric healthcare system. DESIGN, SETTING, AND PARTICIPANTS: Prospective observational cohort study open to adult employees at Children's Hospital of Philadelphia, conducted April 20 - December 17, 2020. METHODS: Employees were recruited starting with high-risk exposure groups, utilizing emails, flyers, and announcements at virtual town halls. At baseline, 1-month, 2-month, and 6-month timepoints, participants reported occupational and community exposures and gave a blood sample for SARS-CoV-2 antibody measurement by enzyme-linked immunosorbent assays (ELISAs). A post hoc Cox proportional hazards regression model was performed to identify factors associated with increased risk for seropositivity. RESULTS: 1740 employees were enrolled. At 6-months, cumulative seroprevalence was 5.3%, below estimated community point seroprevalence; seroprevalence was 5.8% and 3.4% among employees with and without direct patient care, respectively. Most participants seropositive at baseline remained positive at follow-up assessments. In post hoc analysis, direct patient care (HR: 1.95, 95% CI: 1.03 to 3.68), Black race (HR: 2.70, 95% CI: 1.24 to 5.87), and exposure to a confirmed case in a non-healthcare setting (HR: 4.32, 95% CI: 2.71 to 6.88) were associated with statistically significant increased risk for seropositivity. CONCLUSIONS: Employee SARS-CoV-2 seroprevalence rates remained below the surrounding community's point prevalence rates. Provision of direct patient care, Black race, and exposure to a confirmed case in non-healthcare setting conferred increased risk. These data can inform occupational protection measures to maximize protection of employees within the workplace during future COVID waves or other epidemics.

7.
Artigo em Inglês | MEDLINE | ID: mdl-34854938

RESUMO

At present, studies have found that latent Epstein-Barr virus (EBV) infection is associated with a variety of human tumours, and a vaccine is not available in this field. In this research, RT-PCR was used to obtain BZLF1 (immediately expressed early antigen Z) and LMP2 (latent membrane protein 2) cDNA from EBV. A ZLP2 fusion gene containing a linker sequence that encoded the polypeptide (Gly4Ser)3 was obtained using the sequence splicing overlap extension method. Then, ZLP2 was inserted into pMV261 cells, and the recombinant plasmid pMV-ZLP2 was transformed into BCG competent cells. After EB virus-positive tumour cell (NPRC18) cancer models were established with C57BL/6 J mice, tumour weight, tumour formation time and mouse survival conditions were analyzed, and flow cytometry was used to analyze the quantities of CD8 + and CD4 + T cells. HE staining was used to detect and analyze lymphocyte infiltration, and statistical analysis was used to analyze the immunological effect of recombinant BCG (rBCG). Compared with the control group, rBCG could significantly prolong the survival time of mice, slow tumour growth and delay tumour formation time. Recombinant BCG exhibits an obvious immune effect in mice and an inhibitory effect on EBV-positive cancer.Key points• AZLP2 fusion gene with BZLF1 and LMP2 of EB virus was constructed.• ZLP2 fusion gene was expressed with rBCG.• rBCG with ZLP2 has an obvious effect on EBV-positive cancer.

8.
Chemosphere ; : 133089, 2021 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-34856236

RESUMO

Nowadays, metal-based engineered nanoparticles (m-ENPs) are ubiquitous in aquatic environments for their wide applications in all walks of life. m-ENPs have been demonstrated to exert ecotoxicity, cytotoxicity and genotoxicity towards organisms and even humans. Therefore, the removal of m-ENPs from water has recently become a hot global concerned issue. Adsorption is widely investigated for this purpose, owing to its advantages of low cost, easy operation, high removal efficiency and potential recycling use of both the adsorbents and adsorbates. As the adsorption and related technologies were hardly comprehensively overviewed for the removal of m-ENPs, herein, the present review particularly focuses on this topic. The fundamentals to the technology, including adsorption isotherm, adsorption dynamics, the adsorption process with the special emphasis on the relationship between surface area and porosity of the adsorbent and the adsorption capacity, etc., are fully discussed. As the kernel of the adsorption method, adsorbents with diversified chemical and physical properties in different types are comprehensively elaborated. The primary factors affecting the adsorption, and adsorption mechanisms are well summarized. Particularly, the regeneration of the adsorbents and the reuse of adsorbed m-ENPs are highlighted for the sustainability. Finally, challenges and prospects in this field are outlined. Overall, this review aims to provide valuable references for the development of new adsorbents with more efficient and practical applications to remove the m-ENPs and direct the future study.

9.
Sci Total Environ ; : 152087, 2021 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-34856268

RESUMO

As a powerful tool for lake ecological protection, lake health assessment (LHA) provides the basis for sustainable water environment and socio-economic development. However, existing methods almost ignore the effects of fuzziness and randomness on LHA. In addition, most of the current studies on LHA mainly focus on the plain areas, and lack of quantitative studies in mountain areas, such as the Qinghai-Tibet Plateau. To comprehensively investigate the lake health level in the Qinghai-Tibet Plateau, the Nam Co was selected as study area. An indicator system incorporating ecosystem integrity (physical habitat, water quantity and quality, aquatic life) and non-ecological performance (social services) was established. The Pythagorean fuzzy cloud (PFC) integration algorithm drawing on the advantages of Pythagorean fuzzy sets (PFS) and cloud model was proposed. A novel hybrid decision-making framework combining PFC integration algorithm and TOPSIS model was developed to determine the lake health levels with fuzziness and randomness. Results showed that the non-ecological performance was significantly better than the ecosystem integrity in Nam Co. Health levels exhibited a remarkable spatial variation influenced by tourism and grazing, with decreasing health status from the northwestern to southeastern Nam Co. 85% of the sampling sites were at excellent or healthy levels, 15% were subhealthy, and no sampling sites were unhealthy and sick. Research framework developed by this study can overcome the shortcomings of existing methods and provide a more effective approach for LHA with fuzziness and randomness. Accordingly, the ecological restoration of Nam Co is proposed to achieve sustainable management of lake health in ecological fragile areas.

10.
Front Cell Dev Biol ; 9: 755574, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34858982

RESUMO

Memory consolidation is a time-dependent process through which an unstable learned experience is transformed into a stable long-term memory; however, the circuit and molecular mechanisms underlying this process are poorly understood. The Drosophila mushroom body (MB) is a huge brain neuropil that plays a crucial role in olfactory memory. The MB neurons can be generally classified into three subsets: γ, αß, and α'ß'. Here, we report that water-reward long-term memory (wLTM) consolidation requires activity from α'ß'-related mushroom body output neurons (MBONs) in a specific time window. wLTM consolidation requires neurotransmission in MBON-γ3ß'1 during the 0-2 h period after training, and neurotransmission in MBON-α'2 is required during the 2-4 h period after training. Moreover, neurotransmission in MBON-α'1α'3 is required during the 0-4 h period after training. Intriguingly, blocking neurotransmission during consolidation or inhibiting serotonin biosynthesis in serotoninergic dorsal paired medial (DPM) neurons also disrupted the wLTM, suggesting that wLTM consolidation requires serotonin signals from DPM neurons. The GFP Reconstitution Across Synaptic Partners (GRASP) data showed the connectivity between DPM neurons and MBON-γ3ß'1, MBON-α'2, and MBON-α'1α'3, and RNAi-mediated silencing of serotonin receptors in MBON-γ3ß'1, MBON-α'2, or MBON-α'1α'3 disrupted wLTM. Taken together, our results suggest that serotonin released from DPM neurons modulates neuronal activity in MBON-γ3ß'1, MBON-α'2, and MBON-α'1α'3 at specific time windows, which is critical for the consolidation of wLTM in Drosophila.

11.
Appl Intell (Dordr) ; : 1-12, 2021 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-34764612

RESUMO

Due to the explosive growth of short text on various social media platforms, short text stream clustering has become an increasingly prominent issue. Unlike traditional text streams, short text stream data present the following characteristics: short length, weak signal, high volume, high velocity, topic drift, etc. Existing methods cannot simultaneously address two major problems very well: inferring the number of topics and topic drift. Therefore, we propose a dynamic clustering algorithm for short text streams based on the Dirichlet process (DCSS), which can automatically learn the number of topics in documents and solve the topic drift problem of short text streams. To solve the sparsity problem of short texts, DCSS considers the correlation of the topic distribution at neighbouring time points and uses the inferred topic distribution of past documents as a prior of the topic distribution at the current moment while simultaneously allowing newly streamed documents to change the posterior distribution of topics. We conduct experiments on two widely used datasets, and the results show that DCSS outperforms existing methods and has better stability.

12.
J Nurs Scholarsh ; 2021 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-34773378

RESUMO

PURPOSE: Primary caregivers (PC) of patients with advanced head and neck cancer (HNC) report stress during caregiving time post-treatment. We sought to identify the trajectories of resilience from initial completion of treatment to 1-year post-treatment in PC of patients with advanced HNC and to determine the factors associated with trajectories of resilience. DESIGN: In this prospective cohort study with convenience sampling, patient-PC dyads were recruited from a medical center in northern Taiwan between August 2015 and July 2020. METHODS: We recruited 120 patient-PC dyads and followed up at treatment completion and 1, 6, and 12 months post-treatment. Generalized estimating equation analysis was performed to identified factors related to resilience. FINDINGS: PCs' overall resilience increased from initial completion of treatment to peak at 1-year post-treatment. Patient factors associated with greater overall resilience included older age, higher performance status, and shorter time since cancer diagnosis; PC factors included reporting more social support, better physical health, and better mental health. CONCLUSIONS: PC mental health was the most important factor in the resilience trajectory of patients with advanced HNC cancer. CLINICAL RELEVANCE: Quantifying the relevant factors of trajectories of resilience will help to identify vulnerable PCs and guide survivorship care in the early stages of the post-treatment period.

13.
Front Surg ; 8: 747304, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34778361

RESUMO

Background: An iatrogenic bile duct injury (IBDI) is a severe complication that has a great impact on the physical and mental quality of life of the patients, especially for patients with postoperative benign biliary stricture. The effective measures for end-to-end biliary-to-biliary anastomosis intraoperative are essential to prevent the postoperative bile duct stricture, but also a challenge even to the most skilled biliary tract surgeon. Objective: A postoperative benign biliary stricture is an extremely intractable complication that occurs following IBDI. This study aimed to introduce a novel end-to-end biliary-to-biliary anastomosis technique named fish-mouth-shaped (FMS) end-to-end biliary-to-biliary reconstruction and determine the safety and effectiveness for preventing the postoperative benign biliary stricture in both rats and humans. Methods: In this study, 18 patients with biliary injury who underwent an FMS reconstruction procedure were retrospectively analyzed. Their general information, disease of the first hospitalization, operation method, and classification of bile duct injury (BDI) were collected. The postoperative complications were evaluated immediately perioperatively and the long-term complications were followed up at the later period of at least 5 years. An IBDI animal model using 18 male rats was developed for animal-based evaluations. A bile duct diathermy injury model was used to mimic BDI. The FMS group underwent an FMS reconstruction procedure while the control group underwent common end-to-end biliary-to-biliary anastomosis, a sham operation group was also established. The blood samples, liver, spleen, and common bile duct tissues were harvested for further assessments. Results: In the retrospective study, there was no postoperative mortality and no patient developed cholangitis during the 5-years postoperation follow-up. In the study of IBDI animal models, compared with the control group, the FMS reconstruction procedure reduced the occurrence of benign biliary stenosis, liver function damage, and jaundice. The blood tests as well as morphological and pathological observations revealed that rats in the FMS reconstruction group had a better recovery than those in the control group. Conclusions: An FMS reconstruction procedure is a safe and efficient BDI treatment method.

14.
Neurol Sci ; 2021 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-34783933

RESUMO

BACKGROUND: The spectrum of neurological diseases related to ATP1A3 gene mutations is highly heterogeneous and exhibits different phenotypes. Phenotype overlaps, including alternating hemiplegia of childhood (AHC), early infantile epileptic encephalopathy, and rapid-onset dystonia-parkinsonism (RDP), can also occur at extremely low incidences. Currently, over 90 types of pathogenic mutations have been identified in ATP1A3. PATIENTS AND METHODS: The family of a 2-year-11-month-old proband with AHC was recruited for this clinical investigation. The proband was screened for candidate mutation gene sites using next-generation sequencing and target-region capture technology. Sanger sequencing was used to identify carriers among family members. RESULTS: The mother of the proband with AHC was diagnosed with dystonia (later diagnosed as RDP). The biochemical and immune indices of the proband and the mother were not abnormal. Moreover, brain imaging of the proband revealed no significant abnormalities. However, the electroencephalogram of the mother was mildly abnormal, with no spike wave discharge. Brain MRI revealed slight cerebellar atrophy. Electromyography revealed neurogenic damage, with a decrease in the conduction velocity of the left ulnar and radial nerves. Based on the sequencing data, both the proband and her mother carried c.823G > C p. (Ala275Pro) heterozygotes; other family members were not identified as carriers. With a PolyPhen-2 score of 0.997 and SIFT score of 0.001, this mutation can be considered damaging. CONCLUSION: Family genotype-phenotype correlation analysis revealed that the phenotype and gene mutation were co-segregated, suggesting that it may be a pathogenic mutation.

15.
Org Lett ; 23(22): 8822-8827, 2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34723553

RESUMO

Herein, the synthesis of lactam-substituted gem-difluoroalkenes has been developed through a photoredox-catalyzed radical cascade reaction. This developed photoredox-catalyzed, Brønsted base-assisted intramolecular 5-exo-trig cyclization/intermolecular radical addition/ß-fluoride elimination reaction offers a simple method for producing lactam, carbamate, or urea-substituted gem-difluoroalkenes with good functional group tolerance and high yields.

16.
Artigo em Inglês | MEDLINE | ID: mdl-34761457

RESUMO

Colorectal cancer (CRC) incidence in young adults is rising. Identifying genetic risk factors is fundamental for the clinical management of patients and their families. This study aimed to identify clinically significant germline variants among young adults with CRC. Whole-exome sequencing data of blood-derived DNA from 133 unrelated young CRC patients (<55 years of age) underwent a comprehensive analysis of 133 cancer-predisposition/implicated genes. All patient tumors were evaluated for mismatch repair deficiency (dMMR). Among 133 patients (aged 16-54 years), 15% (20/133) had clinically actionable pathogenic or likely pathogenic (P/LP) variants in at least 1 well established cancer-predisposing gene: dMMR genes (6), MUTYH [bi-allelic (2), mono-allelic (3)], RNF43 (1), BMPR1A (1), BRCA2 (4), ATM (1), RAD51C (1), and BRIP1 (1). Five patients (4%) had variants in genes implicated in cancer but where the significance of germline variants in CRC risk is uncertain: GATA2 (1), ERCC2 (mono-allelic) (1), ERCC4 (mono-allelic) (1), CFTR (2). Fourteen (11%) had dMMR tumors. Eighteen (14%) reported a first-degree relative with CRC, but only three of these carried P/LP variants. Three patients with variants in polyposis-associated genes showed no polyposis (one each in MUTYH [bi-allelic], RNF43, and BMPR1A). Approximately one in five young adults in our series carried at least one P/LP variant in a cancer-predisposing/implicated gene; 80% of these variants are currently considered clinically actionable in a familial cancer setting. Family history and phenotype have limitations for genetic risk prediction; therefore multigene panel testing and genetic counseling are warranted for all young adults with CRC regardless of those two factors.

17.
Pain Physician ; 24(8): E1237-E1245, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34793650

RESUMO

BACKGROUND: The traditional treatment for an instrumented vertebral fracture involves removing the loosened pedicle screws and extending the posterior instrumentation cephaladly or caudally. There has been a recent trend of performing minimally invasive fluoroscopy-guided percutaneous vertebroplasty as a salvage procedure. OBJECTIVE: The aim of this study was to compare the outcomes of surgical interventions for instrumented vertebral fracture. STUDY DESIGN: Retrospective assessment. SETTING: All data came from Chang Gung Memorial Hospital, Taiwan. METHODS: We retrospectively reviewed 35 patients with an instrumented vertebral fracture who underwent fluoroscopy-guided percutaneous vertebroplasty (Group I, n = 16) or extension of the posterior instrumentation (Group II, n = 19). Demographic data were recorded. The operating time, amount of intraoperative blood loss, time to postoperative ambulation, and duration of hospital stay were also evaluated. The visual analog scale (VAS) score, kyphotic angle on radiological images, Kirkaldy-Willis functional score, complications, and revision surgery were evaluated at one week and one, 3, 6, and 12 months postoperatively. RESULTS: Group I had a shorter operating time (P < 0.001), less intraoperative blood loss (P < 0.001), earlier postoperative ambulation (P < 0.001), and a shorter hospital stay (P < 0.001). The mean VAS score improved significantly after surgery in both groups (P = 0.001). The postoperative kyphotic angle was better in Group II (P < 0.05). There was no significant between-group difference in the Kirkaldy-Willis functional score at the last follow-up (P = 0.91). There was no significant between-group difference in the need for revision surgery (Group I, n = 4; Group II, n = 5; P = 0.93). LIMITATION: This study is a retrospective cohort. CONCLUSIONS: Minimally invasive fluoroscopy-guided percutaneous vertebroplasty can be used as an alternative to extension of posterior instrumentation for instrumented vertebral fracture. It has several advantages, including a shorter operating time, earlier postoperative ambulation, less blood loss, and a shorter hospital stay. The clinical outcomes of these 2 treatment approaches were similar.

18.
Front Cardiovasc Med ; 8: 751910, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34805306

RESUMO

Background: No study has explored the modification effect of ideal cardiovascular health metrics (ICVHMs) on the association between famine exposure and risk of cardiovascular disease (CVD) so far. We aim to examine the effect of ICVHMs on the association between exposure to famine early in life and the risk of CVD in adulthood. Methods: A total of 61,527 participants free of CVD were included in this study from the Kailuan Study. All participants were divided into three groups, included nonexposed, fetal-exposed, and childhood-exposed groups. Cox regression was used to estimate the effect of famine exposure and ICVHMs on CVD risk. Results: After a median of 13.0 (12.7-13.2) years follow-up, 4,814 incident CVD cases were identified. Compared with nonexposed participants, the CVD risk increased in participants with fetal famine exposure (hazard ratio [HR]: 1.21; 95% CI: 1.07-1.37), but not in childhood famine-exposed participants. After stratifying by the number of ICVHMs, the increased CVD risk associated with fetal famine exposure was only observed in participants with less ICVHMs ( ≤ 2) (HR: 1.30; 95% CI: 1.11-1.52, P for interaction=0.008), but disappeared in those with three or more ICVHMs. The modified effect of ICVHMs was sex specific (P for sex interaction = 0.031). Conclusions: Exposing to famine in the fetal period could increase the risk of CVD in late life; however, ICVHMs might modify the effect of famine exposure on CVD risk, especially in men.

19.
Acc Chem Res ; 2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34761916

RESUMO

ConspectusWhile developed in a number of directions, bioinspired catalysis has been explored only very recently for CO2 reduction, a challenging reaction of prime importance in the context of the energetic transition to be built up. This approach is particularly relevant because nature teaches us that CO2 reduction is possible, with low overpotentials, high rates, and large selectivity, and gives us unique clues to design and discover new interesting molecular catalysts. Indeed, on the basis of our relatively advanced understanding of the structures and mechanisms of the active sites of fascinating metalloenzymes such as formate dehydrogenases (FDHs) and CO dehydrogenases (CODHs), it is possible to design original, active, selective, and stable molecular catalysts using the bioinspired approach. These metalloenzymes use fascinating metal centers: in FDHs, a Mo(W) mononuclear ion is coordinated by four sulfur atoms provided by a specific organic ligand, molybdopterin (MPT), containing a pyranopterin heterocycle (composed of a pyran ring fused with a pterin unit) and two sulfhydryl groups for metal chelation; in CODHs, catalytic activity depends on either a unique nickel-iron-sulfur cluster or a dinuclear Mo-Cu complex in which the Mo ion is chelated by an MPT ligand. As a consequence, the novel class of catalysts, designed by bioinspiration, consists of mononuclear Mo, W, and Ni and as well as dinuclear Mo-Cu and Ni-Fe complexes in which the metal ions are coordinated by sulfur ligands, more specifically, dithiolene chelates mimicking the natural MPT cofactor. In general, their activity is evaluated in electrochemical systems (cyclic voltammetry and bulk electrolysis) or in photochemical systems (in the presence of a photosensitizer and a sacrificial electron donor) in solution. This research is multidisciplinary because it implies detailed biochemical, functional, and structural characterization of the inspiring enzymes together with synthetic organic and organometallic chemistry and molecular catalysis studies. The most important achievements in this direction, starting from the first report of a catalytically active biomimetic bis-dithiolene-Mo complex in 2015, are discussed in this Account, highlighting the challenging issues associated with synthesis of such sophisticated ligands and molecular catalysts as well as the complexity of reaction mechanisms. While the very first active biomimetic catalysts require further improvement, in terms of performance, they set the stage in which molecular chemistry and enzymology can synergistically cooperate for a better understanding of why nature has selected these sites and for developing highly active catalysts.

20.
Front Med (Lausanne) ; 8: 720607, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34722565

RESUMO

Background: Physical function gradually decreases with age in older adults, affecting their independence and quality of life and leaving them prone to adverse outcomes. Despite the importance of assessing function for older adults, most studies have focused on disability and paid less attention to functional impairment. Thus, given the lack of valid and practical methods for evaluating functional impairment for older adults, we developed the function impairment screening tool (FIST) using the Delphi method. Objective: This study aimed to evaluate the reliability and validity of the FIST in Chinese older adults. Methods: A total of 489 participants aged 60 years or older, and who had completed the FIST were included. A subgroup of 50 participants completed the FIST a second time, 1 week after the first round, and the test-retest reliability was evaluated using the intraclass correlation coefficient (ICC). Reliability was tested using Cronbach's alpha. Validity was examined using exploratory factor analysis. Criterion-related validity was assessed using correlations between the FIST and the Barthel Index activities of daily living (ADL), Lawton, and Brody instrumental activities of daily living (LB-IADL). Results: The Cronbach's alpha coefficient for the FIST was 0.930 (P < 0.001). The test-retest reliability was good, with an ICC of 0.928 (95% confidence interval [0.874, 0.960]). Exploratory factor analyses revealed one factor accounting for 60.14% of the scale's variance and the load values of every item were >0.4 (0.489-0.872). The correlation coefficient was 0.572 (P < 0.001) between the FIST score and ADL, and was 0.793 (P < 0.001) between the FIST score and IADL. The FIST score was positively correlated with walking speed (r = 0.475, P < 0.001) and grip strength (r = 0.307, P < 0.001), and negatively correlated with age (r = -0.588, P < 0.001) and Fried frailty phenotype (r = -0.594, P < 0.001). Conclusion: The FIST is a reliable and valid instrument for assessing physical function impairment in older adults.

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