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2.
Environ Pollut ; 293: 118456, 2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34740736

RESUMO

Chlorinated paraffins (CPs) are used as additives in metal processing in the metal smelting industry. Data on CPs in the environment near metal smelting plants are limited. The objectives of this study were to investigate the concentrations and congener profiles of CPs in soil around factories in a non-ferrous metal recycling park located in Hebei, China, and to investigate human exposure to CPs in the soil. The concentrations of short-chain CPs (SCCPs) and medium-chain CPs (MCCPs) were determined by two-dimensional gas chromatography with electron capture negative ionization mass spectrometry. The SCCP and MCCP concentrations in the soil samples were 121-5159 ng/g and 47-6079 ng/g, respectively. Generally, the CP concentrations in soils around the factories were relatively high compared with those near other contaminated sites and in rural and urban areas. There were significant correlations between the MCCP concentrations, some SCCP carbon homologs, and the total organic carbon content (p < 0.05). The major SCCP and MCCP congener groups were C10Cl6-7 and C15-16Cl5, respectively. Hierarchical cluster analysis and principal component analysis indicated that SCCPs and MCCPs in the soil might originate from extreme pressure additives containing CP-42 and CP-52 and CP-containing waste material from the factories. The concentrations in two samples collected near a metal recycling factory posed a moderate risk according to a risk assessment conducted using risk quotients. Further risk assessment showed that the CPs concentrations in soil did not pose significant health risks to either children or adults.

3.
Trends Hear ; 25: 23312165211059628, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34817273

RESUMO

Stimulus-frequency otoacoustic emissions (SFOAEs) can be useful tools for assessing cochlear function noninvasively. However, there is a lack of reports describing their utility in predicting hearing capabilities. Data for model training were collected from 245 and 839 ears with normal hearing and sensorineural hearing loss, respectively. Based on SFOAEs, this study developed an objective assessment system consisting of three mutually independent modules, with the routine test module and the fast test module used for threshold prediction and the hearing screening module for identifying hearing loss. Results evaluated via cross-validation show that the routine test module and the fast test module predict hearing thresholds with similar performance from 0.5 to 8 kHz, with mean absolute errors of 7.06-11.61 dB for the routine module and of 7.40-12.60 dB for the fast module. However, the fast module involves less test time than is needed in the routine module. The hearing screening module identifies hearing status with a large area under the receiver operating characteristic curve (0.912-0.985), high accuracy (88.4-95.9%), and low false negative rate (2.9-7.0%) at 0.5-8 kHz. The three modules are further validated on unknown data, and the results are similar to those obtained through cross-validation, indicating these modules can be well generalized to new data. Both the routine module and fast module are potential tools for predicting hearing thresholds. However, their prediction performance in ears with hearing loss requires further improvement to facilitate their clinical utility. The hearing screening module shows promise as a clinical tool for identifying hearing loss.

4.
Opt Express ; 29(23): 38904-38914, 2021 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-34808933

RESUMO

A plasmonic fiber-tip based on the metallic metasurface and the multimode fiber (MMF) alleviates the limitation of the inevitable large sensing size caused by fiber side wall functionalization. Localized surface plasmon resonance (LSPR) based on metasurface on the fiber-tip provides a promising way to manipulate and interrogate the transmitted and reflection light in sub-wavelength range. Combining the advantages of plasmonic fiber-tip and magnetic fluid, a compact magnetic field fiber-optic sensor is proposed and verified by experiments. The developed fiber-optic magnetic field sensor has linear response and high magnetic strength sensitivity of 0.532 nm/mT over a range of 0-20 mT. In addition, the results also prove the feasibility of pseudo-vector magnetic field sensing.

5.
Front Surg ; 8: 751906, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34760920

RESUMO

Background: Compared with systemic treatment alone, whether surgical treatment combined with systemic treatment can improve survival outcomes of patients with isolated breast cancer liver metastases (BCLM) is still controversial. This meta-analysis was designed to evaluate the efficacy of surgical treatment for patients with isolated BCLM. Methods: A systematic search of PubMed, Embase, and Cochrane Library up to May 13, 2021 was conducted for relevant studies. The primary outcome was overall survival. The meta-analysis was performed using R software. The quality of the pooled study was assessed using the Newcastle-Ottawa scale. The publication bias was evaluated by funnel plots and Begg's and Egger's tests. Fixed- and random-effects models were applied according to heterogeneity. Results: 9 retrospective studies involving 13 cohorts (7 unmatched cohorts and 6 matched cohorts) were included in this study. The surgical cohorts had better overall survival than the systemic cohorts in the pooled analysis of all the included studies, in the subgroup analysis of liver resection, and in the subset of the matched cohorts. Conclusions: Compared with systemic treatment alone, surgical treatment combined with systemic treatment was proven to be associated with superior survival outcomes, which should be considered in selected patients with isolated BCLM.

6.
Front Mol Biosci ; 8: 753276, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34760927

RESUMO

Sensitive and efficient detection of drug-resistant mutations is essential in cancer precision medicine. In treating acute myeloid leukemia (AML), FLT3 gene F691L mutation shows universal resistance to all currently available FLT3 inhibitors. However, there is no particular detection method for FLT3-F691L. Commonly-used first-generation sequencing (FGS) approaches have low sensitivity, and next-generation sequencing (NGS) is time-consuming. Herein, we developed an accurate and sensitive FLT3-F691L diagnostic method by CRISPR detection. Briefly, the FLT3-691 region is amplified by recombinase polymerase amplification (RPA) and detected by L691-crRNA induced Cas12a reaction, and finally the result can be directly observed under a blue lamp or analyzed by a fluorescence reader. Confirmed by the tests on diluted plasmids and 120 AML patient samples, this method can achieve a sensitivity of 0.1% and complete the whole diagnosis process within 40 min. Potentially, this method will play an important role in point-of-care applications and guidance of AML treatment.

7.
Sci Total Environ ; : 151435, 2021 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-34752868

RESUMO

Large amounts of plastic mulch debris (PMD) accumulated in the soil can endanger agroecosystems. However, little is known about the interactions between PMD and soil-microbe-plant systems. In this study, a pot experiment (four replicates) in tropical greenhouse was conducted to investigate the effects of PMD (polyethylene) at different concentrations (0, 0.4, 0.8, 4.0, 6.0 g kg-1) on soil nutrients, rhizosphere bacterial communities and rice growth. This study further explored the interactive mechanisms between PMD and environmental factors based on correlation analysis and previous studies. The results showed that PMD continuously reduced the soil capabilities to store nutrients (C, N, P, humic-like substances) and increased the proportion of P and biodegradable dissolved organic matter (DOM). At the full ripening stage of rice growth, total organic carbon (TOC), total nitrogen (TN) and total phosphorus (TP) in all PMD treatments significantly decreased by 60.86, 52.51 and 34.83% respectively as compared to CK (p < 0.05). Furthermore, PMD increased the total abundance of bacteria but reduced the diversity and evenness of bacterial communities, which further affected microbial metabolic functions. Total OTUs and Shannon decreased 0.02-17.05% and 0.69-7.55% in treatments. At harvest-time, PMD reduced the biomass and yield of rice with 11.34 and 19.24% (all treatments on average) lower than CK. Under the influence of PMD, the order of correlation size between PMD and one environmental factor was PMD-soil > PMD-microbe > PMD-plant, and the order of correlation between two environmental factors was soil-microbe > microbe-plant > soil-plant. Over all, PMD had the most significant negative effects on soil nutrients storage, followed by the change of microbial community structure and microbial metabolic functions. The negative effects of PMD on crops were relatively weak.

8.
Environ Technol ; : 1-20, 2021 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-34779747

RESUMO

AbstractIn this research, chitosan-decorated activated carbon(AC) was proposed. The AC was cross-linked by glutaraldehyde to prepare adsorbent(AC-CS).The AC-CS has a rough surface. Adding the AC-CS directly to the dye solution can achieve simple and convenient removal of anionic azo dyes acid red 18 (AR-18). In dye solution, the AC-CS was used as adsorbent. The effects of pH, contact time, temperature, initial concentration of AR-18, and the AC-CS dosage on the adsorption efficiency were investigated. Full kinetic and isotherm analysis were also undertaken. In addition, the reusability of the AC-CS was evaluated, and the results showed that the removal rate of AR18 after regeneration remained relatively stable, above 90%. This experiment has shown that AC-CS is a promising anionic azo dye adsorbent.

9.
Front Nutr ; 8: 700936, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34746200

RESUMO

Objective: This review aimed to systematically summarize and meta-analyze the association between eating speed and metabolic syndrome (MetS). Methods: Following the Preferred Reporting Items for Systematic Reviews, and Meta Analyses (PRISMA) guidelines, four electronic databases (PubMed, Web of Science, MEDLINE, and EMBASE) were searched until March 2021 to identify eligible articles based on a series of inclusion and exclusion criteria. Heterogeneity was examined using I 2 statistics. Using random-effects models, the pooled odds ratios (ORs), and 95% CIs were calculated to evaluate the association between eating speed with MetS and its components, including central obesity, blood pressure (BP), high-density lipoprotein cholesterol (HDL), triglyceride (TG), and fasting plasma glucose (FPG). Results: Of the 8,500 original hits generated by the systematic search, 29 eligible studies with moderate-to-high quality were included, involving 465,155 subjects. The meta-analysis revealed that eating faster was significantly associated with higher risks of MetS (OR = 1.54, 95% CI: 1.27-1.86), central obesity (OR = 1.54, 95% CI: 1.37-1.73), elevated BP (OR = 1.26, 95% CI: 1.13-1.40), low HDL (OR = 1.23, 95% CI: 1.15-1.31), elevated TG (OR = 1.29, 95% CI: 1.18-1.42), and elevated FPG (OR = 1.16, 95% CI: 1.06-1.27) compared to eating slowly. Conclusions: The results of the review indicated that eating speed was significantly associated with MetS and its components. Interventions related to decreasing eating speed may be beneficial for the management of MetS. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021242213, identifier: CRD42021242213.

10.
Aging Ment Health ; : 1-9, 2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34761966

RESUMO

OBJECTIVES: The study aimed to describe daily sleep characteristics for dementia care dyads in the context of adult day services (ADS) use and examine the associations with sleep quality and daytime functioning (fatigue, affect, and behavior problems). METHODS: Caregivers (CG; N = 173) reported daily bedtime, wake time, and sleep quality for themselves and the persons living with dementia (PLWD) across 8 consecutive days (N = 1359), where PLWD attended ADS at least 2 days of the week. On each day, caregivers also reported their own fatigue and affect and PLWD's daytime behavior problems and nighttime sleep problems. Considering the context of ADS use, we compared mean differences in bedtime, wake time, and total time in bed on nights before versus after ADS use. We estimated multilevel models to examine daily sleep-well-being associations. RESULTS: On nights before an upcoming ADS day, care dyads went to bed and woke up earlier, and spent less time in bed. Further, PLWD had better sleep quality the night before an upcoming ADS day. Using ADS during the day buffered the negative impact of PLWD's sleep problems in the previous night, reducing daytime negative affect for caregivers. For caregivers, using ADS yesterday attenuated the association between shorter than typical time in bed and daytime fatigue; it also attenuated the association between PLWD's nighttime sleep problems and lowered daytime positive affect. CONCLUSIONS: Regular ADS use may promote earlier sleep timing and protect against the adverse impact of sleep disturbances on daytime functioning for dementia care dyads.

11.
Front Oncol ; 11: 716762, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34671550

RESUMO

Objective: To evaluate the clinical performance and utility for risk stratification of DH3 HPV assay in women (≥30 years) with NILM cytology. Methods: A prospective cohort was established in Central China between November 8 to December 14, 2016 which consisted of 2180 women aging 30-64 years with NILM cytology. At baseline, all women were screened using DH3 HPV assay. HPV 16/18 positive women would be assigned to colposcopy and biopsied if necessary. Then, hr-HPV positive women without CIN2+ lesions would be followed up by cytology every 12 months for two years. In the 3rd year of follow up, all women that were not biopsy proven CIN2+ would be called back and screened by cytology again. In follow-up period, women with ASC-US and above were referred to colposcopy and biopsied if clinically indicated. CIN2+ was the primary endpoint in analysis. The clinical performance and utility for risk stratification of DH3 HPV assay were assessed by SPSS 22.0 and SAS 9.4. Results: Of 2180 qualified women, the prevalence of hr-HPV was 8.5% (185/2180), 45(2.1%) were HPV 16/18 positive. The clinical performance for HPV16/18 was 91.7% for sensitivity, 98.4% for specificity, respectively against CIN2+ detection at baseline. In four years of study, the corresponding rates of HPV 16/18 were 51.5% and 98.7%, respectively. The cumulative absolute risk for the development of CIN2+ was as high as 37.8% for HPV 16/18 positive women, followed by hr-HPV positive (14.6%), other hr-HPV positive (11.0%) and HPV negative (0.3%) in three years. The relative risk was 125.6 and 3.4 for HPV 16/18 positive group when compared with HPV negative and other hr-HPV positive group, respectively. Conclusions: DH3 HPV assay demonstrated excellent clinical performance against CIN2+ detection in cervical cancer screening and utility of risk stratification by genotyping to promote scientific management of women with NILM cytology.

12.
Artigo em Inglês | MEDLINE | ID: mdl-34675066

RESUMO

Identification of high-risk population among HBV/HCV-infected individuals with first-degree relatives (FDRs) who have liver cancer is important to implement precise intervention. A cross-sectional study was conducted under the framework of a population-based Cancer Screening Program in Urban China (CanSPUC), aimed to develop and validate a simple non-invasive model that could assess and stratify cirrhosis risk, in HBV/HCV-infected individuals with FDRs who have liver cancer. People who participated in liver cancer screening in Henan province were enrolled. Using the dataset consisting of participants admitted from October 1,2013 to December 31, 2016, a 24-point scale risk score model was developed through logistic regression, based on education background, dietary habit, smoking index, cooking oil fume exposure, history of severe trauma, HBV/HCV infection status, history of diabetes, history of hyperlipidaemia, and parent history of liver cancer. The model showed excellent discrimination with AUROC of 0.875 (95%CI: 0.853-0.896) and fair calibration with a Hosmer-Lemeshow test P=0.106. The prevalence rates in the medium- and high-risk groups were 2.87 (95%CI: 1.94-4.25) and 47.57 (95%CI: 31.59-71.63) times of low-risk group, respectively. After internal validation, bias-corrected AUROC was 0.874 (95%CI: 0.873-0.875). In the external validation dataset consisting of participants admitted from January 1,2017 to October 31, 2018, the model had achieved similar discrimination, calibration and risk stratification ability. In conclusion, this risk score model we developed can be a practical tool for the screening and prevention of liver cirrhosis among HBV/HCV-infected individuals with FDRs who have liver cancer.

13.
Microorganisms ; 9(10)2021 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-34683406

RESUMO

Ulcerative colitis (UC) is a non-specific chronic inflammatory disease with lesions located in the colon and rectum. The aim of this study was to evaluate the anti-inflammatory effects of exopolysaccharide-1 (EPS-1) isolated by L. helveticus KLDS1.8701 on UC. The anti-inflammatory effects of EPS-1 were studied using dextran sulphate sodium (DSS)-induced UC model. In vivo results showed that EPS-1 administration significantly ameliorated weight loss, colon shortening, disease activity index (DAI) score, myeloperoxidase (MPO) activity, and colon tissue damage. In addition, EPS-1 administration significantly decreased the levels of pro-inflammatory cytokines and increased levels of anti-inflammatory cytokines. Meanwhile, EPS-1 administration significantly up-regulated the expression of tight junction proteins and mucin. Furthermore, EPS-1 administration modulated gut microbiota composition caused by DSS and increased the short-chain fatty acids (SCFAs) levels. Collectively, our study showed the alleviative effects of EPS- isolated by L. helveticus KLDS1.8701 on DSS-induced UC via alleviating intestinal inflammation, improving mucosal barrier function, and modulating gut microbiota composition.

14.
Sleep Health ; : 651, 2021 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-34686460

RESUMO

OBJECTIVES: Assess longitudinal associations between diary-measured sleep duration and clinically assessed body mass index (BMI). DESIGN: Multilevel growth curve analyses examined how within-person changes and between-person differences in habitual sleep duration were associated with BMI trajectories. SETTING: Sleep diaries across 2-6 consecutive weekday and weekend nights at each data collection point, repeatedly collected at approximate 4-year intervals, for an average of 9.2 (standard deviation [SD] = 3.6) years between 1989 and 2011. PARTICIPANTS: About 784 participants (47% women) enrolled in the Wisconsin Sleep Cohort Study (mean [SD] age = 51.1 [8.0] years at baseline). MEASUREMENTS: The outcome variable was BMI (kg/m2). Key predictors were habitual sleep duration (defined as average weekday nighttime sleep duration) and sleep duration differential (defined as the difference between average weekday and average weekend nighttime sleep duration) at each data collection wave. RESULTS: Men with shorter habitual sleep duration on weekdays had higher BMI than men with longer habitual sleep duration on weekdays (ß = -0.90 kg/m2/hour, se = 0.34, p = .008). Participants with larger differentials between weekday and weekend sleep duration experienced more rapid BMI gain over time for both men (ß = 0.033 kg/m2/year per hour differential, se = 0.017, p = .044) and women (ß = 0.057 kg/m2/year per hour differential, se = 0.027, p = .036). CONCLUSION: This study suggests that habitual short sleep is associated with higher BMI levels in men and that a larger weekday-weekend sleep differential is associated with increasing BMI trajectories among both men and women in mid-to-late life.

15.
J Cardiothorac Surg ; 16(1): 314, 2021 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-34702337

RESUMO

BACKGROUND: Bulla is a common cause of primary spontaneous pneumothorax. Video-assisted thoracoscopic surgery (VATS) through the lateral chest wall is a common surgical approach and an effective treatment for this condition, but postoperative incision scars affect the aesthetic outcome. VATS via axillary approach can hide the scar in the axilla, and the wound in its natural state is invisible; this greatly improves the cosmetic appearance. To our knowledge, this is the first report of VATS-based bullectomy via the axillary approach in a patient with spontaneous pneumothorax. CASE PRESENTATION: A 20-year-old female patient was admitted to the hospital with a 2-day history of chest tightness and chest pain. Plain chest computed tomography showed right spontaneous pneumothorax, lung compression of 75%, and right pulmonary bulla. After complete preoperative examination, VATS bullectomy via right axillary approach was performed. During the operation, a bulla measuring about 4 × 4 cm was found at the apex of the right lung and resected. The incision healed well, and the patient was discharged after surgery. CONCLUSIONS: VATS bullectomy via axillary approach is safe and feasible, with the incision hidden in the axilla and not visible in the natural state. This method leaves no scar on the chest wall and has good cosmetic outcome.


Assuntos
Pneumotórax , Adulto , Axila/cirurgia , Vesícula/diagnóstico por imagem , Vesícula/cirurgia , Feminino , Humanos , Pulmão , Pneumotórax/diagnóstico por imagem , Pneumotórax/cirurgia , Cirurgia Torácica Vídeoassistida , Adulto Jovem
16.
Ying Yong Sheng Tai Xue Bao ; 32(8): 2800-2808, 2021 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34664453

RESUMO

In this study, five different organic and chemical fertilizer treatments (100% chemical fertilizers and 14%, 28%, 56%, and 84% organic fertilizers instead of chemical fertilizers) were set up to examine their effects on agronomic characteristics, yield, mineral nutrient absorption and effective component content of Chrysanthemum morifolium. We used the microplate reader and MTT kit to detect the antioxidant activity of C. morifolium water extract under different treatments and its protective effect on LO2 hepatocytes which were damaged by H2O2. The results showed that chemical fertilizer combined with organic fertilizer could ensure the yield of C. morifolium. Moreover, the yield of C. morifolium increased by 8.3% treated with low proportion of chemical fertilizer reduction combined with organic fertilizer (14% organic fertilizer instead of chemical fertilizer). The contents of N and Mg elements in C. morifolium flowers showed an upward trend with increased replacement ratio of organic fertilizer, while the contents of Ca and P reached the maximum value when C. morifolium were treated with 56% and 28% organic fertilizer substitution, respectively. In addition, the contents of chlorogenic acid, luteolin and 3,5-O-dicaffeoylquinic acid in flowers was raised by 3.3%-12.8%, 15.7%-30.1% and 9.5%-29.7%, respectively, when C. morifolium were treated with gradually increasing ratio of organic fertilizer to chemical fertilizer. Furthermore, the antioxidant activity of C. morifolium water extract first increased and then decreased with elevated replacement ratio of organic fertilizer. The C. morifolium water extract could significantly improve the survival rate of H2O2-damaged LO2 hepatocytes. The survival rate of H2O2-damaged LO2 hepatocytes reached as high as 91.2% treated with C. morifolium water extract under the treatment of 28% organic fertilizer instead of chemical fertilizer cultivated C. morifolium, showing a significant increase compared to the model group. Based on the comprehensive indices of yield, nutrient absorption, active ingredient content, antioxidant activity in vitro, the protective effect on H2O2-damaged LO2 hepatocytes and the ecological friendly characteristics of organic fertilizer, we suggested that the quality of cultivated C. morifolium was the best under the application of 28% organic fertilizer instead of chemical fertilizer.


Assuntos
Chrysanthemum , Fertilizantes , Fertilizantes/análise , Peróxido de Hidrogênio , Solo , Água
17.
Anal Chim Acta ; 1182: 338943, 2021 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-34602188

RESUMO

PIK3CA H1047R gene plays an important role in the PI3K/Akt/mTOR signaling pathway, and its mutation is closely related to the occurrence and development of breast cancer and Lipoblastoma. Therefore, it is of great value to detect the PIK3CA H1047R mutant gene. Here, an analytical method coupled CRISPR/Cas12a with rolling circle amplification (RCA) technology was constructed for ultra-sensitive and specific detection of the single-nucleotide variant (SNV) of the PIK3CA H1047R gene. With efficient amplification of RCA and CRISPR/Cas12a, the detection limit of the mutant target and mixture of the mutant with wild-type target were as low as 10 aM and 0.036%, respectively. The detection limit of the RCA-CRISPR/Cas12a method was lower than that of allelic specific PCR (AS-PCR) for detecting SNV of the PIK3CA H1047R gene. Hence, this RCA-CRISPR/Cas12a method is sensitive and specific for the detection of SNV. What's more, this strategy provides a new idea for medical diagnosis and lays a technical foundation for the research of PI3K/Akt/mTOR signaling pathways.


Assuntos
Sistemas CRISPR-Cas , Fosfatidilinositol 3-Quinases , Sistemas CRISPR-Cas/genética , Classe I de Fosfatidilinositol 3-Quinases/genética , Humanos , Mutação , Nucleotídeos , Fosfatidilinositol 3-Quinases/genética
19.
Front Cell Infect Microbiol ; 11: 687827, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34557424

RESUMO

Background: Gut microbiota dysbiosis can contribute to the progression of atherosclerosis. We investigated the association of the gut microbiota and the severity of coronary artery lesions and prognosis of patients with ACS. Methods: In this case-control study, 402 ACS patients and 100 controls were enrolled from June 2017 to December 2018. The number of bacterial species was determined by real-time PCR. A SYNTAX score was calculated for all ACS patients based on their coronary angiography results. Results: Compared with the healthy controls, the gut microbial levels in Escherichia coli, Streptococcus, and Enterobacteriaceae were significantly increased in ACS patients, while the Lactobacillus level was significantly decreased. Lactobacillus level was as an independent predictor of disease severity on the coronary angiography [high vs. low SYNTAX score: adjusted odds ratio (aOR) = 0.024, 95% confidence interval (CI): 0.004-0.155] and myocardial necrosis [high vs. low cardiac troponin T (cTNT): aOR = 0.317, 95% CI: 0.099-0.914]. Subsequently, a higher Lactobacillus level was associated with a lower risk of an all-cause death [adjusted hazard ratio (aHR) = 0.239; 95% CI: 0.093-0.617] and major adverse cardiac events (MACE) in ACS patients (aHR = 0.208; 95% CI: 0.081-0.531). After stratifying by the type of ACS, a higher Lactobacillus level was significantly associated with the decreased risks of high SYNTAX score, all-cause death, and MACE in the STEMI subgroup but not in the NSTEMI and UAP subgroups. Conclusions: Lower Lactobacillus levels may indicate a higher risk of a more severe coronary atherosclerotic lesions and myocardial necrosis and worse prognosis for patients with ACS, particularly in the STEMI subgroup.


Assuntos
Síndrome Coronariana Aguda , Aterosclerose , Síndrome Coronariana Aguda/diagnóstico por imagem , Estudos de Casos e Controles , Angiografia Coronária , Humanos , Lactobacillus
20.
Ann Transl Med ; 9(15): 1276, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34532413

RESUMO

Diverse insults to the optic nerve result in partial to total vision loss as the axons of retinal ganglion cells are destroyed. In glaucoma, axons are injured at the optic nerve head; in other optic neuropathies, axons can be damaged along the entire visual pathway. In all cases, as mammals cannot regenerate injured central nervous system cells, once the axons are lost, vision loss is irreversible. However, much has been learned about how retinal ganglion cells respond to axon injuries, and many of these crucial discoveries offer hope for future regenerative therapies. Here we review the current understanding regarding the temporal progression of axonal degeneration. We summarize known survival and regenerative mechanisms in mammals, including specific signaling pathways, key transcription factors, and reprogramming genes. We cover mechanisms intrinsic to retinal ganglion cells as well as their interactions with myeloid and glial cell populations in the retina and optic nerve that affect survival and regeneration. Finally, we highlight some non-mammalian species that are able to regenerate their retinal ganglion cell axons after injury, as understanding these successful regenerative responses may be essential to the rational design of future clinical interventions to regrow the optic nerve. In the end, a combination of many different molecular and cellular interventions will likely be the only way to achieve functional recovery of vision and restore quality of life to millions of patients around the world.

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