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1.
Lung Cancer ; 154: 124-130, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33657514

RESUMO

This study aimed to explore the prognostic significance of solid pattern for bone metastases (BM) in epidermal growth factor receptor (EGFR)-mutated lung adenocarcinoma patients after surgery. A total of 237 stage I-III lung adenocarcinoma patients with EGFR mutation were analyzed after procedure. The patients were divided into four groups: the solid-present patients with BM, the solid-absent patients with BM, the solid-present patients without BM and the solid-absent patients without BM. The bone disease-free survival (bDFS), systemic disease-free survival (DFS) and overall survival (OS) were assessed. The results revealed that the patients with solid pattern had shorter DFS (15 months vs. 19 months; P < 0.001) and OS (47 months vs. 77 months; P = 0.001). Moreover, bDFS of solid-present patients was significantly shorter than solid-absent patients (27 months vs. 14 months; P < 0.001). In addition, patients with solid component had worsened bDFS, no matter with BM as first-site development (12.5 months vs. 16.5 months; P = 0.016) or non-first-site development (16.5 months vs. 45.5 months; P < 0.001). These findings suggested that solid pattern predicted worse DFS and OS and also showed shortened interval between surgery and BM.

2.
Bone ; 147: 115938, 2021 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-33766805

RESUMO

Sleep problems are common in the general population and have been linked to bone health, falls risk and fracture. However, longitudinal studies on sleep-bone health outcomes are lacking and no study has investigated whether an increased risk of fracture is attributable to sleep-related low bone mineral density (BMD) and an increased risk of falls. This study was designed to examine the associations of sleep disturbance with bone mineral density (BMD), risk of falls and fractures over 10.7 years. The analyses were performed in a population-based cohort study with 1099 participants (mean age 62.9 years) enrolled at baseline, and 875, 768 and 563 participants traced at a mean follow-up of 2.6, 5.1 and 10.7 years, respectively. At each visit, self-reported sleep disturbance was recorded. BMD (by dual-energy x-ray absorptiometry), falls risk score and fracture were measured at each visit. The short-form Physiological Profile Assessment was used to measure falls risk score expressed as Z-score. Fractures were self-reported. Mixed-effects model and generalized estimating equations were used for the analyses. In multivariable analysis, there was a dose-response relationship between the extent of sleep disturbance and falls risk score with the strongest association in those reporting the worst sleep disturbance (ß = 0.15/unit; 95%CI 0.02-0.28). The worst sleep disturbance was associated with an increased risk of any (relative risk [RR] 1.30/unit; 95%CI 1.01-1.67) and vertebral fracture (RR 2.41/unit; 95%CI 1.00-5.80) compared with those reporting no interrupted sleep. Women but not men with sleep disturbance had a higher risk of vertebral fracture (RR: 2.07 to 6.02, P < 0.05). These were independent of covariates, hip BMD and falls risk. There was no statistically significant association between sleep disturbance and BMD at the hip, spine or total body. Sleep disturbance was independently associated with a greater falls risk score and an increased risk of fractures. Further research is needed to confirm and identify underlying mechanisms for these associations.

3.
Rep Prog Phys ; 2021 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-33761489

RESUMO

Over the past decade, two-dimensional semiconductors (2DSCs) have aroused wide interest due to their extraordinary electronic, magnetic, optical, mechanical, and thermal properties, which hold potential in electronic, optoelectronic, thermoelectric applications, and so forth. The field-effect transistor (FET), a semiconductor gated with at least three terminals, is pervasively exploited as the device geometry for these applications. For lack of effective and stable substitutional doping techniques, direct metal contact is often used in 2DSC FETs to inject carriers. A Schottky barrier (SB) generally exists in the metal-2DSC junction, which significantly affects and even dominates the performance of most 2DSC FETs. Therefore, low SB or Ohmic contact is highly preferred for approaching the intrinsic characteristics of the 2DSC channel. In this review, we systematically introduce the recent progress made in theoretical prediction of the SB height (SBH) in the 2DSC FETs and the efforts made both in theory and experiments to achieve low SB contacts. From the comparison between the theoretical and experimentally observed SBHs, the emerging first-principles quantum transport simulation turns out to be the most powerful theoretical tool to calculate the SBH of a 2DSC FET. Finally, we conclude this review from the viewpoints of state-of-the-art electrode designs for 2DSC FETs.

4.
J BUON ; 26(1): 152-158, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33721446

RESUMO

PURPOSE: To explore the influence of nm23-H1 on the proliferation and apoptosis of glioma cells and the mechanism of action. METHODS: The changes in the messenger RNA (mRNA) expression of nm23-H1 were detected via quantitative real-time-polymerase chain reaction (qRT-PCR), and the relative protein expression level of nm23-H1 was determined using immunohistochemistry. The glioma H4 cells were transfected exogenously with nm23-H1 gene (nm23-H1 group) or empty vector (Vector group), and the biological influence of the expression level of nm23-H1 on H4 cells was then assessed through in vitro functional experiments. Besides, the cells transfected with nm23-H1 were incubated with the protein kinase C (PKC) pathway inhibitor Calphostin C, and functional experiments were performed to observe the changes in the proliferation and apoptosis of cells after incubation. RESULTS: According to the immunohistochemistry and qRT-PCR results, the protein and mRNA expression levels of nm23-H1 declined notably in glioma tissues (p<0.01). The cells with up-regulated nm23-H1 expression had substantially weakened proliferation and migration abilities, but exhibited dramatically enhanced apoptosis (p<0.01). The PKC pathway inhibitor considerably potentiated the effects of nm23-H1 protein on the proliferation and apoptosis of H4 cells (p<0.05), and the protein expression level of nm23-H1 rose in the cells treated with the PKC inhibitor (p<0.01). CONCLUSIONS: Compared with normal brain tissues, nm23-H1 is lowly expressed in glioma tissues and affects the expression of PKC to influence the biological behaviors of H4 cells.

5.
Lab Chip ; 21(7): 1385-1394, 2021 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-33585849

RESUMO

We present sensing time-lapse morphogenesis of living bone cells under micro-fluidic shear stress (FSS) by digital holographic (DH) microscopy. To remove the effect of aberrations on quantitative measurements, we propose a numerical and automatic method to compensate for aberrations based on a convolutional neural network (CNN). For the first time, the aberration compensation issue is considered as a regression task where optimal coefficients for constructing the phase aberration map act as responses corresponding to the input aberrated phase image. We adopted tens of thousands of living cells' phase images reconstructed from digital holograms for training the CNN. The experiments demonstrate that, based on the trained network, phase aberrations can be totally removed in real-time without any hypothesis of object and aberration phase, knowledge of the setup's physical parameters, and the operation of selecting background regions; hence, the morphogenesis of the bone cells under FSS is accurately detected and quantitatively analyzed. The results show that the proposed method could provide a highly efficient and versatile way to investigate the effects of micro-FSS on living biological cells in microfluidic lab-on-chip platforms thanks to the combination of phase-contrast label-free microcopy with artificial intelligence.

6.
Eur J Med Chem ; 214: 113256, 2021 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-33581556

RESUMO

Multiple-target drugs may achieve better therapeutic effect via different pathways than single-target ones, especially for complex diseases. Tubulin and DNA are well-characterized molecular targets for anti-cancer drug development. A novel class of diaryl substituted 2H-azirines were designed based on combination of pharmacophores from Combretastatin A-4 (CA-4) and aziridine-type alkylating agents, which are known tubulin polymerization inhibitor and DNA damaging agents, respectively. The antitumor activities of these compounds were evaluated in vitro and 6h showed the most potent activities against four cancer cell lines with IC50 values ranging from 0.16 to 1.40 µM. Further mechanistic studies revealed that 6h worked as a bifunctional agent targeting both tubulin and DNA. In the nude mice xenograft model, 6h significantly inhibited the tumor growth with low toxicity, demonstrating the promising potential for further developing novel cancer therapy with a unique mechanism.

7.
Mol Cell Proteomics ; : 100053, 2021 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-33561546

RESUMO

Esophageal squamous cell cancer (ESCC) is an aggressive malignancy with poor therapeutic outcomes. However, the alterations in proteins and post-translational modifications (PTMs) leading to the pathogenesis of ESCC remains unclear. Here, we provide the comprehensive characterization of the proteome, phosphorylome, lysine acetylome and succinylome for ESCC and matched control cells using quantitative proteomic approach. We identify abnormal protein and post-translational modification (PTM) pathways, including significantly downregulated lysine succinylation sites in cancer cells. Focusing on hyposuccinylation, we reveal that this altered PTM was enriched on enzymes of metabolic pathways inextricably linked with cancer metabolism. Importantly, ESCC malignant behaviors such as cell migration are inhibited once the level of succinylation was restored in vitro or in vivo. This effect was further verified by mutations to disrupt succinylation sites in candidate proteins. Meanwhile, we found that succinylation has a negative regulatory effect on histone methylation to promote cancer migration. Finally, hyposuccinylation is confirmed in primary ESCC specimens. Our findings together demonstrate that lysine succinylation may alter ESCC metabolism and migration, providing new insights into the functional significance of PTM in cancer biology.

8.
Aging Ment Health ; : 1-8, 2021 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-33533261

RESUMO

OBJECTIVES: To evaluate the reliability and validity of Chinese version of Addenbrooke's Cognitive Examination III (ACE-III-CV) in the identification of mild cognitive impairment (MCI), and further investigate the optimal cutoff scores according to different age and education level. METHOD: A total of 716 individuals aged from 50 to 90 years old were recruited through internet-based and print advertisements, including 431 cognitively normal controls (NC) and 285 individuals with MCI according to an actuarial neuropsychological method put forward by Jak and Bondi. Besides the cognitive screening tests of ACE-III-CV, Mini-Mental State Examination (MMSE) and Chinese version of Montreal Cognitive Assessment-Basic (MoCA-BC), all the participants underwent a battery of standardized neuropsychological tests. Validations of the ACE-III-CV, MMSE, and MoCA-BC for detecting MCI from NC were determined by Receiver operating characteristic (ROC) curves. RESULTS: ACE-III-CV had a good reliability (Cronbach's coefficient α = 0.807, intraclass correlation coefficients for interrater and test-retest reliability were 0.95 and 0.93). According to the area under ROC curve (AUC), ACE-III-CV and MoCA-BC showed better ability than MMSE in detecting MCI. No significant difference was found between ACE-III-CV and MoCA-BC. The optimal cutoff scores of ACE-III-CV for screening MCI were 72 for individuals with 1-9 years of education, 78 for individuals with 10-15 years of education, and 80 for individuals with more than 16 years of education. CONCLUSION: The Chinese version of ACE-III-CV is a reliable and valid screening tool for detecting MCI. The optimal cutoff scores are closely related with education level.

9.
Nat Mater ; 2021 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-33633354

RESUMO

The discovery of the spin Hall effect1 enabled the efficient generation and manipulation of the spin current. More recently, the magnetic spin Hall effect2,3 was observed in non-collinear antiferromagnets, where the spin conservation is broken due to the non-collinear spin configuration. This provides a unique opportunity to control the spin current and relevant device performance with controllable magnetization. Here, we report a magnetic spin Hall effect in a collinear antiferromagnet, Mn2Au. The spin currents are generated at two spin sublattices with broken spatial symmetry, and the antiparallel antiferromagnetic moments play an important role. Therefore, we term this effect the 'antiferromagnetic spin Hall effect'. The out-of-plane spins from the antiferromagnetic spin Hall effect are favourable for the efficient switching of perpendicular magnetized devices, which is required for high-density applications. The antiferromagnetic spin Hall effect adds another twist to the atomic-level control of spin currents via the antiferromagnetic spin structure.

10.
Nat Nanotechnol ; 2021 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-33619408

RESUMO

Layered lithium cobalt oxide (LiCoO2, LCO) is the most successful commercial cathode material in lithium-ion batteries. However, its notable structural instability at potentials higher than 4.35 V (versus Li/Li+) constitutes the major barrier to accessing its theoretical capacity of 274 mAh g-1. Although a few high-voltage LCO (H-LCO) materials have been discovered and commercialized, the structural origin of their stability has remained difficult to identify. Here, using a three-dimensional continuous rotation electron diffraction method assisted by auxiliary high-resolution transmission electron microscopy, we investigate the structural differences at the atomistic level between two commercial LCO materials: a normal LCO (N-LCO) and a H-LCO. These powerful tools reveal that the curvature of the cobalt oxide layers occurring near the surface dictates the structural stability of the material at high potentials and, in turn, the electrochemical performances. Backed up by theoretical calculations, this atomistic understanding of the structure-performance relationship for layered LCO materials provides useful guidelines for future design of new cathode materials with superior structural stability at high voltages.

11.
J Phys Chem Lett ; : 1593-1600, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33545005

RESUMO

Hydrogen evolution reaction (HER) is known as the heart of various energy storage and conversation systems of renewable energy sources. Here we observe the cluster reactions of a light transition metal, vanadium, with water in a gas-phase flow tube reactor. While HER products of V1 and V2 were not observed, the effective HER of water on neutral Vn (n ≥ 3) clusters reveals reasonable and size-dependent reactivity of the vanadium clusters. Superatomic features and reaction dynamics of V10, V13, and V16 are highlighted. Among the three typical superatoms, V10 and V16 exhibit an abnormal superatomic orbital energy level order, 1S|2S|1P|1D..., where the energy-reduced 2S orbital helps to accommodate the geometric structure and hence reinforce the cluster stability. In comparison, V13 bears a less symmetrical structure and reacts readily with water, allowing for recombination of a hydroxyl atom with an adsorbed hydrogen atom, akin to a fishing-mode HER process. The joint experimental and theoretical study on neutral Vn clusters clarifies the availability of superatom chemistry for transition metals and appeals further development of cluster theory based on electronic cloud/orbital analysis instead of simply counting the valence electrons. Also, we provide insights into the HER mechanism of metal clusters and propose a strategy to design new materials for portable fuel cells of hydrogen energy.

12.
Ann Palliat Med ; 10(2): 2184-2194, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33615805

RESUMO

BACKGROUND: The nurse's specific understanding of pulmonary rehabilitation is not clear. The aim of the present study was to analyze the cognitive status of Shanghai nurses on pulmonary rehabilitation, and to provide a basis for the development of pulmonary rehabilitation work. METHODS: The cognitive status of pulmonary rehabilitation of nursing staff in Shanghai was investigated in the form of a questionnaire. The questionnaire included three main aspects of the function, content and indication of pulmonary rehabilitation, with 10 options for each aspect. The total score was 30 points, with 0-17 points indicating a low score and 18-30 points indicating a high score. RESULTS: A total of 960 valid questionnaires were collected. The average score of pulmonary rehabilitation knowledge was 18.48 points, with a median of 19 [14-23] points. There were statistically significant differences in the total scores of pulmonary rehabilitation knowledge among nurses of different ages, types of hospitals, levels of hospitals, education levels, professional titles, positions, departments, and theoretical knowledge of pulmonary rehabilitation (P<0.05). There were no statistically significant differences in the scores among nurses of different sexes (P>0.05). The high-score group included age ≥40 years (79.5%), respiratory hospital (71.7%), tertiary hospital (65.5%), bachelor degree or above (66.5%), nurse-in-charge or above (77.9%), managerial position (72.7%), pulmonary rehabilitation-related departments (71.9%), and theoretical knowledge of lung rehabilitation (79.5%). Logistic regression analysis showed that age, education level, professional title, discipline, and theoretical knowledge of lung rehabilitation were the main factors influencing the score of pulmonary rehabilitation knowledge of nursing staff in Shanghai (P<0.05). CONCLUSIONS: More than half of the nurses surveyed in Shanghai scored high on the cognition of lung rehabilitation knowledge, but there were still many nurses who had poor theoretical knowledge of lung rehabilitation and had an insufficient understanding of the specific content of lung rehabilitation; therefore, there is room for improvement. More opportunities to develop understanding of pulmonary rehabilitation theory should be provided.

13.
Acta Diabetol ; 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33420614

RESUMO

AIMS: Increasing evidence suggests that poor glycemic control in diabetic individuals is associated with poor coronavirus disease 2019 (COVID-19) pneumonia outcomes and influences chest computed tomography (CT) manifestations. This study aimed to explore the impact of diabetes mellitus (DM) and glycemic control on chest CT manifestations, acquired using an artificial intelligence (AI)-based quantitative evaluation system, and COVID-19 disease severity and to investigate the association between CT lesions and clinical outcome. METHODS: A total of 126 patients with COVID-19 were enrolled in this retrospective study. According to their clinical history of DM and glycosylated hemoglobin (HbA1c) level, the patients were divided into 3 groups: the non-DM group (Group 1); the well-controlled blood glucose (BG) group, with HbA1c < 7% (Group 2); and the poorly controlled BG group, with HbA1c ≥ 7% (Group 3). The chest CT images were analyzed with an AI-based quantitative evaluation system. Three main quantitative CT features representing the percentage of total lung lesion volume (PLV), percentage of ground-glass opacity volume (PGV) and percentage of consolidation volume (PCV) in bilateral lung fields were used to evaluate the severity of pneumonia lesions. RESULTS: Patients in Group 3 had the highest percentage of severe or critical illness, with 12 (32%) cases, followed by 6 (11%) and 7 (23%) cases in Groups 1 and 2, respectively (p = 0.042). The composite endpoints, including death or using mechanical ventilation or admission to the intensive care unit (ICU), were 3 (5%), 5 (16%) and 10 (26%) in Groups 1, 2 and 3, respectively (p = 0.013). The PLV, PGV and PCV in bilateral lung fields were significantly different among the three groups (all p < 0.001): the median PLVs were 12.5% (Group 3), 3.8% (Group 2) and 2.4% (Group 1); the median PGVs were 10.2% (Group 3), 3.6% (Group 2) and 1.9% (Group 1); and the median PCVs were 1.8% (Group 3), 0.3% (Group 2) and 0.1% (Group 1). In the linear regression analyses, which were adjusted for age, sex, BMI, and comorbidities, HbA1c remained positively associated with PLV (ß = 0.401, p < 0.001), PGV (ß = 0.364, p = 0.001) and PCV (ß = 0.472, p < 0.001); this relationship was also observed between fasting blood glucose (FBG) and the three CT quantitative parameters. In the logistic regression analyses, PLV [OR 1.067 (1.032, 1.103)], PGV [OR 1.076 (1.034, 1.120)] and PCV [OR 1.280 (1.110, 1.476)] levels were independent predictors of the composite endpoints, as well as the areas under the ROC (AUCs) for PLV [AUC 0.796 (0.691, 0.900)], PGV [AUC 0.783 (0.678, 0.889)] and PCV [AUC 0.816 (0.722, 0.911)]; the ORs were still significant for CT lesions after adjusting for age, sex and poorly controlled diabetes. CONCLUSIONS: Increased blood glucose level was correlated with the severity of lung involvement, as evidenced by certain chest CT parameters, and clinical prognosis in diabetic COVID-19 patients. There was a positive correlation between blood glucose level (both HbA1c and FBG) on admission and lung lesions. Moreover, the CT lesion severity by AI quantitative analysis was correlated with clinical outcomes.

14.
Dalton Trans ; 50(2): 578-586, 2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33464251

RESUMO

The novel composite, Fe3O4@SiO2@mSiO2-PW12/Ag, was successfully prepared by in situ loading Ag nanoparticles (Ag NPs) on the surface of grafted phosphotungstate (denoted as PW12) Fe3O4@SiO2@mSiO2via a photoreduction deposition method. PW12 not only acts as a reducing agent and stabilizer for Ag NPs but also as a bridge to link Ag NPs and the SiO2 shell in the loading process. Its activity toward the photodegradation of methyl orange (MO) and photoreduction of Cr2O72- anions was evaluated. Experimental results showed that Fe3O4@SiO2@mSiO2-PW12/Ag with 5.3 wt% Ag loading and 18.65 wt% of PW12 exhibits the highest photocatalytic efficacy, and complete degradation of MO and 91.2% photoreduction of Cr(vi) were realized under simulated sunlight for 75 min, respectively. The enhanced catalytic activities of the composite are due to its high specific surface area, the synergistic effect among the components and the formation of a heterojunction of PW12/Ag. The possible enhanced photocatalytic mechanism is proposed. The catalyst is durable and can be easily recovered using a magnet for recycling without a significant loss of catalytic activity.

15.
Sci Rep ; 11(1): 417, 2021 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-33432072

RESUMO

This study aims to explore and compare a novel deep learning-based quantification with the conventional semi-quantitative computed tomography (CT) scoring for the serial chest CT scans of COVID-19. 95 patients with confirmed COVID-19 and a total of 465 serial chest CT scans were involved, including 61 moderate patients (moderate group, 319 chest CT scans) and 34 severe patients (severe group, 146 chest CT scans). Conventional CT scoring and deep learning-based quantification were performed for all chest CT scans for two study goals: (1) Correlation between these two estimations; (2) Exploring the dynamic patterns using these two estimations between moderate and severe groups. The Spearman's correlation coefficient between these two estimation methods was 0.920 (p < 0.001). predicted pulmonary involvement (CT score and percent of pulmonary lesions calculated using deep learning-based quantification) increased more rapidly and reached a higher peak on 23rd days from symptom onset in severe group, which reached a peak on 18th days in moderate group with faster absorption of the lesions. The deep learning-based quantification for COVID-19 showed a good correlation with the conventional CT scoring and demonstrated a potential benefit in the estimation of disease severities of COVID-19.


Assuntos
/diagnóstico por imagem , Aprendizado Profundo , Pulmão/diagnóstico por imagem , Tórax/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos
16.
J Hazard Mater ; 411: 125078, 2021 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-33486231

RESUMO

Sediment internal phosphorus (P) loading can be tightly associated with overlying water hypoxia. However, the effects of long-term seasonal hypoxia on the geochemical transition of P in P-poor coastal sediment and how this transition is linked to the early diagenesis of iron (Fe), sulfur (S) and carbon are still poorly understood. Here, we conducted a one-year monthly field investigation to study the (im)mobilization and migration of P among coastal sediment, porewater and overlying water. The coherent distribution of soluble Fe and mobile P and decoupled distribution of labile S (soluble sulfide) and mobile P in the depth profiles indicate that the redox cycling of Fe (but not S) dominates P mobility. Nevertheless, the monthly variation in the porewater soluble reactive P (SRP) presented significant positive correlations with that of the overlying water SRP. This finding highlights that hypoxia-fueled SRP migration from overlying water rather than weak diagenetic P mobilization due to deficient organic matter and solid labile P is the crucial factor responsible for internal P mobility over long time scales. Although SRP tends to migrate from overlying water to porewater, the potential risk of sediment labile P remobilization and reliberation to the overlying water is considerable.

17.
Pain ; 2020 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-33273416

RESUMO

Metabolic dysfunction has been suggested to be involved in musculoskeletal pain; however, few studies have identified metabolic markers associated with multisite musculoskeletal pain (MSMP). This study sought to identify metabolic marker(s) for MSMP by metabolomic analysis. The Tasmanian Older Adult Cohort Study (TASOAC) provided the discovery cohort with the Newfoundland Osteoarthritis Study (NFOAS) providing the replication cohort. MSMP was assessed by a self-reported pain questionnaire and defined as painful sites ≥4 in both TASOAC and NFOAS. Further, MSMP was also defined as painful sites ≥7, while non-MSMP was defined as either painful sites <7 or ≤1 in NFOAS. Serum samples of TASOAC received metabolic profiling using The Metabolomics Innovation Centre (TMIC) Prime Metabolomics Profiling Assay. The data on the identified metabolites were retrieved from NFOAS metabolomic database for the purpose of replication. A total of 409 participants were included in TASOAC, 38% of them had MSMP. Among the 143 metabolites assessed, 129 passed quality control and were included in the analysis. Sphingomyelin (SM) C18:1 was significantly associated with MSMP (OR per log µM increase=3.96, 95%CI, 1.95-8.22; p=0.0002). The significance remained in multivariable analysis (OR per log µM increase=2.70, 95%CI, 1.25-5.95). A total of 610 participants were included in NFOAS and the association with SM C18:1 was successfully replicated with three MSMP definitions (OR ranging from 1.89 to 2.82; all p<0.03). Our findings suggest that sphingomyelin metabolism is involved in the pathogenesis of MSMP and circulating level of SM C18:1 could serve as a potential marker in the management of MSMP.

18.
Dig Liver Dis ; 2020 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-33334704

RESUMO

BACKGROUND AND AIMS: The incidence of non-alcoholic fatty liver disease (NAFLD) is increasing in young populations. However, there are inadequate data regarding diagnosis of NAFLD. We aimed to validate three scoring systems against a previous standard of suprailiac skinfold thickness for diagnosing NAFLD in population-based adolescents. METHODS: Seventeen-year-old adolescents (n = 899), participating in the Raine Study, attended a cross-sectional follow-up. NAFLD was diagnosed using liver ultrasound. Scores for Fatty liver index (FLI), Hepatic Steatosis Index (HSI) and Zhejiang University index (ZJU index) were calculated. Diagnostic accuracy of these diagnostic tests was evaluated through discrimination and calibration. RESULTS: NAFLD was diagnosed 9% in males and 15% in females. The three scoring systems demonstrated better discrimination performance for NAFLD in males (AUC was FLI:0.82, HSI: 0.83 and ZJU index: 0.83) compared to females (AUC was FLI: 0.67, HSI: 0.67 and ZJU index: 0.67). Suprailiac skinfold performed better than the scoring systems (overall AUC: 0.82; male AUC:0.88; female AUC:0.73). FLI had best calibration performance. CONCLUSION: Suprailiac skinfold thickness was a better predictor of ultrasound-diagnosed NAFLD than the three diagnostic scoring systems investigated. The higher performance characteristics of the algorithmic scoring systems in males compared with females may have implications for use in population assessments.

19.
Huan Jing Ke Xue ; 41(12): 5336-5344, 2020 Dec 08.
Artigo em Chinês | MEDLINE | ID: mdl-33374049

RESUMO

Based on data from industrial activities and environmental surveys in the six districts of Xiamen, the emission inventory of industrially sourced volatile organic compounds (VOCs) from eight industries in the six districts of Xiamen was calculated for 2019 by applying the emission factor analysis method. The spatial distribution pattern of VOC emission intensity in the six districts of Xiamen was analyzed. VOCs treatment technologies applied in the industries in the VOCs emission inventory were analyzed and countermeasures for improving VOC control were proposed based on the survey of the industries. The results showed that the total VOCs production and VOCs emission from industrial sources in Xiamen was 16027.88 t and 5514.58 t in 2019, respectively. Among them, the VOCs emission from Haicang, Tong'an, Xiang'an, and Jimei districts outside Xiamen Island were 1648.35, 2111.13, 667.52, and 750.48 t, respectively. Fewer VOC emissions from Xiamen Island were observed, which included 292.42 and 44.68 t from Huli and Siming districts, respectively. Except for the Huli District, the spatial distribution of emissions showed a spatial characteristic that the VOCs emission intensities outside Xiamen Island are higher than that of Xiamen Island. Among the eight industries in Xiamen, VOCs emissions were mainly from coating, printing, chemical, and rubber industries, which accounted for 51.21%, 20.18%, 13.63%, and 10.67%, respectively, of the total emissions. The analytic results of the VOCs waste gas disposal technique in Xiamen indicate that, from the perspective of source control, enterprises can effectively control the generation and emission of the VOCs at the source by using low (zero) raw materials. For the terminal disposal procedure, the actual disposal efficiency of UV photolysis/photocatalysis, low-temperature plasma, and biological methods are all lower than 80%, and that of the combined technique of adsorption and catalytic combustion, and the combustion method are both higher than 90%.

20.
Zhonghua Nan Ke Xue ; 26(8): 713-716, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-33377732

RESUMO

Objective: To investigate the effects of bilateral microsurgical subinguinal varicocelectomy (BMSV) in patients with asthenozoospermia or oligozoospermia. METHODS: Totally 147 patients with male infertility received BMSV from January 2018 to May 2019, of whom 109 had complete data recorded. We retrospectively analyzed the clinical data, including the total sperm count per ejeculate, sperm concentration and sperm motility before and after surgery, and the rate of natural conception achieved during the follow-up. RESULTS: BMSV achieved a total effectiveness rate of 79.00% in improving the percentage of progressively motile sperm (a rise of ≥20%) and a marked effectiveness rate of 70.00% (a rise of ≥50%) in the 100 cases of asthenozoospermia as compared with the baseline, with a mean recovery time of (110.13 ± 37.43) days. Besides, a total effectiveness rate of 74.29% (an increase of ≥20%) and a marked effectiveness rate of 71.43% (an increase of ≥50%) were attained in the improvement of sperm concentration in the 35 cases of oligozoospermia, with a mean recovery time of (117.00 ± 48.79 ) days. A natural conception rate of 30.30% was observed during the follow-up. No severe adverse events occurred postoperatively. CONCLUSIONS: BMSV is significantly effective for the treatment of asthenozoospermia and oligozoospermia.


Assuntos
Astenozoospermia , Oligospermia , Varicocele , Astenozoospermia/cirurgia , Humanos , Masculino , Microcirurgia , Oligospermia/cirurgia , Estudos Retrospectivos , Contagem de Espermatozoides , Motilidade Espermática , Resultado do Tratamento , Varicocele/cirurgia
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