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1.
Science ; 376(6593): 609-615, 2022 05 06.
Artigo em Inglês | MEDLINE | ID: mdl-35511979

RESUMO

Heatstroke is a heat stress-induced, life-threatening condition associated with circulatory failure and multiple organ dysfunctions. If global warming continues, heatstroke might become a more prominent cause of mortality worldwide, but its pathogenic mechanism is not well understood. We found that Z-DNA binding protein 1 (ZBP1), a Z-nucleic acid receptor, mediated heatstroke by triggering receptor-interacting protein kinase 3 (RIPK3)-dependent cell death. Heat stress increased the expression of ZBP1 through heat shock transcription factor 1 (HSF1) and activated ZBP1 through a mechanism independent of the nucleic acid sensing action. Deletion of ZBP1, RIPK3, or both mixed lineage kinase domain-like (MLKL) and caspase-8 decreased heat stress-induced circulatory failure, organ injury, and lethality. Thus, ZBP1 appears to have a second function that orchestrates host responses to heat stress.


Assuntos
Golpe de Calor , Ácidos Nucleicos , Morte Celular , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Humanos , Proteínas de Ligação a RNA/genética , Proteínas de Ligação a RNA/metabolismo , Proteína Serina-Treonina Quinases de Interação com Receptores/genética
2.
Comput Math Methods Med ; 2022: 4820090, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35509855

RESUMO

Objective: To analyze the transmission and blocking intervention scheme of emotional disorders between cancer patients and their families. Methods: About 150 patients with cancer and 150 family members with mood disorders treated in a tertiary hospital in North China from March 2021 to Octobor2021 were enrolled. The patients were randomly assigned into control group and study group. The control group received routine intervention, and the study group received the diagnosis, intervention, and treatment strategies of doctor-patient-affective disorder. The factors related to the transmission of emotional disorders between cancer patients and their families were analyzed, and the alterations of anxiety, depression, social support, and satisfaction of the two groups were compared under different blocking intervention schemes. Results: (1) Univariate analysis indicated that there were significant differences in family age, family income, sex, location of tumor, course of disease, TNM stage, somatic symptoms, and the incidence of anxiety and depression. There exhibited no significant difference between the gender of the family, the years of education of the family, the occupational status of the family, the relationship between the family and the patient, the mode of payment of the patient's medical expenses, the age of the patient, the mode of treatment of the patient, the degree of knowledge of the disease, and the incidence of anxiety and depression (P > 0.05). The anxiety and depression status of relatives were taken as dependent variables, and the age of family members, family income status, sex of patients, location of tumor, course of disease, TNM stage, and physical symptoms of patients were taken as independent variables, and the data were analyzed by Logistic regression analysis. Logistic regression analysis indicated that family income, tumor location, disease course, TNM stage, and somatic symptoms were the risk factors of anxiety and depression in relatives. (2) Comparison of social support status and intergroup, the objective support, subjective support, support utilization, and total score of social support in the study group were higher compared to the control group. In terms of the depression score before intervention, there exhibited no significant difference (P > 0.05), but after intervention, the depression score of the two groups decreased, and the depression score of the study group was lower compared to the control group before intervention, 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention (P < 0.05). In terms of the anxiety score before intervention, there exhibited no significant difference (P > 0.05), but after intervention, the anxiety score of the two groups decreased, and the anxiety score of the study group was lower compared to the control group before intervention, 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention (P < 0.05). Comparison of the satisfaction between the two groups and the study group was very satisfied in 56 cases, satisfactory in 14 cases, and general in 5 cases, and the satisfaction rate was 100.00%. The control group was very satisfied in 35 cases, satisfactory in 23 cases, general in 12 cases, and dissatisfied in 5 cases, and the satisfaction rate was 93.33%. The satisfaction of the study group was higher compared to the control group (P < 0.05). Conclusion: Family income, tumor location, course of disease, TNM stage, and somatic symptoms are the risk factors of anxiety and depression in relatives. After establishing the diagnosis, intervention and treatment strategies of doctor-patient-affective disorder, the emotional disorder of family members of cancer patients, is significantly promoted, and the intervention satisfaction is high, so the scheme is worth promoting.


Assuntos
Sintomas Inexplicáveis , Neoplasias , Ansiedade/epidemiologia , Depressão/epidemiologia , Família/psicologia , Humanos , Transtornos do Humor , Neoplasias/epidemiologia
3.
Sci Total Environ ; : 155787, 2022 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-35550901

RESUMO

Many studies have reported the occurrence of microplastics in live shellfish intended for human consumption. However, far fewer studies have been conducted on dried shellfish from supermarkets or fishery markets. In this study, the characteristics of microplastics in six kinds of dried shellfish products following different cooking treatments were investigated. Dietary exposure to microplastics in dried shellfish was estimated using the consumption rate of seafood among different age groups. Microplastics were detected in all the uncooked, dried shellfish products, ranging from 0.3 to 4.2 items/g. Fibres accounted for more than 80% of microplastics in razor clams, winkles, and scallops. The proportion of microplastics smaller than 1 mm in size ranged from 57.1% to 89.7% of the total microplastics found in dried shellfish. The polymer types included polyethylene terephthalate (PET), rayon, polyester, nylon, polypropylene (PP), cellophane (CP), and polyethylene (PE). Principal component analysis (PCA) showed that the sizes and shapes of microplastics in scallops were more susceptible to alteration by different cooking methods. Steaming and frying significantly reduced the abundance of microplastics in razor clams. In addition, significantly fewer microplastics were found in scallop products after boiling and steaming than were found in fried scallop products. The estimated dietary intake of microplastics for infants was the highest among the age groups considered (3.05 items/kg(bw)/day). Accordingly, frying was suggested for cooking mussels, boiling for clams and winkles, and steaming for scallops. Combining risks from ingesting plastics and plastic additives, steaming is suggested as the best method to cook shellfish.

4.
Environ Sci Technol ; 56(10): 6399-6414, 2022 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-35510873

RESUMO

Secondary microplastics usually come from the breakdown of larger plastics due to weathering and environmental stress cracking of plastic wastes. In the present study, 5013 plastic fragments were collected from coastal beaches, estuary dikes, and lake banks in China. The fragment sizes ranged from 0.2 to 17.1 cm, and the dominant polymers were polypropylene and polyethylene. Cracks were observed on the surfaces of 49-56% of the fragments. Based on the extracted crack images, we proposed a general crack pattern system including four crack types with specific definitions, abbreviations, and symbols. The two-dimensional spectral analysis of the cracks suggests that the first three patterns showed good regularity and supported the rationality of the pattern system. Some crack metrics (e.g., line density) were closely correlated with the carbonyl index and additives (e.g., phthalate esters) of fragments. For crack investigation in field, we proposed a succinct protocol, in which five crack ranks were established to directly characterize the degree of cracking based on the line density values. The system was successfully applied to distinguish the differences in crack features at two representative sites, which indicates that crack pattern is a useful tool to describe the morphological changes of plastic surfaces in the environment.

5.
Nutrients ; 14(9)2022 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-35565803

RESUMO

Cyanidin-3-O-glucoside (C3G) is a natural colorant with anti-diabetic properties, while its underlying mechanisms remain far from clear. Here, we investigated the protective role of C3G on palmitic acid (PA)-induced pancreatic beta cell dysfunction and further decipher its possible molecular mechanisms. Both primary isolated mouse islets and the INS-1E cell were used, and treated with a mixture of PA (0.5 mM) and C3G (12.5 µM, 25 µM, 50 µM) for different durations (12, 24, 48 h). We found that C3G could dose-dependently ameliorate beta cell secretory function and further alleviate cell apoptosis. Mechanistically, the primary role of the PKR-like ER kinase (PERK) endoplasmic reticulum (ER) stress pathway was detected by RNA sequencing, and the PERK-pathway-related protein expression, especially the pro-apoptotic marker C/EBP homologous protein (CHOP) expression, was significantly downregulated by C3G treatment. The critical role of CHOP in mediating the protective effect of C3G was further validated by small interfering RNA. Conclusively, C3G could ameliorate PA-induced pancreatic beta cell dysfunction targeting the CHOP-related ER stress pathway, which might be used as a nutritional intervention for the preservation of beta cell dysfunction in type 2 diabetes mellitus.

6.
Anal Chim Acta ; 1208: 339843, 2022 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-35525593

RESUMO

The chemistry of the metal-organic frameworks (MOFs) coating may affect the biological functionality of the encapsulated biomacromolecules in harsh environment. Enzymes encapsulated in hydrophilic MAF-7 can retain high activity in harsh environment. We conducted this study to prepare a non-invasive wearable uircase@MAF-7-based electrochemical sensor that can achieve accurate and sensitive detection of UA levels in sweat by integrating a flexible microfluidic chip and wireless electronic readout device. The flexible microfluidic chip enabled an easy and effective collection of sweat samples. MAF-7 protected enzyme activity by encapsulating uricase. The uricase@MAF-7-based electrochemical sensor enabled the highly sensitive detection of UA in the concentration range of 2 µM-70 µM with a detection limit of as low as 0.34 µM. Additionally, we evaluated the utility of the sensor for monitoring UA levels in real sweat samples by means of a high purine dietary challenge. This personalized wearable sweat sensing device has a potential to be used for monitoring disease-related metabolites in daily life.


Assuntos
Técnicas Biossensoriais , Estruturas Metalorgânicas , Dispositivos Eletrônicos Vestíveis , Suor/química , Urato Oxidase , Ácido Úrico/análise
7.
Front Oncol ; 12: 868654, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35444940

RESUMO

Gastric cancer is one of the most common malignant tumors and patients show a short survival, those combined with bone marrow invasion have a median survival of only 37 days. Here we reported the treatment of a 47-year-old male with advanced gastric cancer and complicated with bone marrow invasion and extensive metastases, who did not tolerate chemotherapy, under monotherapy with savolitinib, a MET receptor tyrosine kinase inhibitor. Before treatment, the patient was in severe pain and presented with thrombocytopenia and hemorrhagic anemia. Savolitinib was given based on amplification and rearrangement of the MET gene in his tumor. After savolitinib treatment, the patient's condition promptly improved, efficacy evaluation indicated partial remission, and the patient was alive and remained progression-free at 15 weeks at the time of reporting. No obvious adverse reactions occurred. Besides, another case of a female gastric cancer patient with MET amplification who received savolitinib monotherapy as a third-line treatment that remained progression-free at 12 weeks was also reported. This report provides a new reference for understanding MET abnormalities in gastric cancer and offers a possibility for future application of MET tyrosine kinase inhibitors in the therapy of gastric cancer with MET abnormalities. Also, it suggests that sequencing of MET can be considered a routine target in advanced gastric cancer patients.

8.
Nat Commun ; 13(1): 2358, 2022 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-35487934

RESUMO

The enhanced compositional flexibility to incorporate multiple-principal cations in high entropy oxides (HEOs) offers the opportunity to expand boundaries for accessible compositions and unconventional properties in oxides. Attractive functionalities have been reported in some bulk HEOs, which are attributed to the long-range compositional homogeneity, lattice distortion, and local chemical bonding characteristics in materials. However, the intricate details of local composition fluctuation, metal-oxygen bond distortion and covalency are difficult to visualize experimentally, especially on the atomic scale. Here, we study the atomic structure-chemical bonding-property correlations in a series of perovskite-HEOs utilizing the recently developed four-dimensional scanning transmission electron microscopy techniques which enables to determine the structure, chemical bonding, electric field, and charge density on the atomic scale. The existence of compositional fluctuations along with significant composition-dependent distortion of metal-oxygen bonds is observed. Consequently, distinct variations of metal-oxygen bonding covalency are shown by the real-space charge-density distribution maps with sub-ångström resolution. The observed atomic features not only provide a realistic picture of the local physico-chemistry of chemically complex HEOs but can also be directly correlated to their distinctive magneto-electronic properties.

9.
Anal Methods ; 14(15): 1547-1552, 2022 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-35373796

RESUMO

Small microplastics and nanoplastics are of growing concern as they pose more risks to ecological and human health than larger particles. However, characterization of the morphological and chemical features of single particles faces a major challenge if instrumental combination is not available. Here, we developed a marker system via computer aided design and crafted it on a silicon substrate (8 × 8 mm) via direct-write lithography. We dripped 20 µL of a solution containing tiny particles extracted from a highly weathered plastic fragment onto a silicon substrate. After the solution was oven-dried, the polymer composition of particles down to 895 nm was located via multiple markers and identified using micro-Raman. The lithographic substrate was then transferred to a scanning electron microscope with energy dispersive spectroscopy capability, and the surface morphology and element distribution were captured for the same particle. Similarly, the morphology and surface elevation were characterized using a scanning electron microscope and an atomic force microscope. The average retrieval rate for particles reached 86% if all characterization experiments were conducted within one week. Our results suggest that photolithographic silicon substrates provide a novel and economical way to link the physicochemical characteristics of small microplastics and parts of nanoplastics.


Assuntos
Microplásticos , Poluentes Químicos da Água , Humanos , Plásticos , Polímeros , Silício , Poluentes Químicos da Água/análise
10.
Biomed Tech (Berl) ; 2022 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-35420003

RESUMO

Functional near-infrared spectroscopy (fNIRS) is a type of functional brain imaging. Brain-computer interfaces (BCIs) based on fNIRS have recently been implemented. Most existing fNIRS-BCI studies have involved off-line analyses, but few studies used online performance testing. Furthermore, existing online fNIRS-BCI experimental paradigms have not yet carried out studies using different imagined movements of the same side of a single limb. In the present study, a real-time fNIRS-BCI system was constructed to identify two imagined movements of the same side of a single limb (right forearm and right hand). Ten healthy subjects were recruited and fNIRS signal was collected and real-time analyzed with two imagined movements (leftward movement involving the right forearm and right-hand clenching). In addition to the mean and slope features of fNIRS signals, the correlation coefficient between fNIRS signals induced by different imagined actions was extracted. A support vector machine (SVM) was used to classify the imagined actions. The average accuracy of real-time classification of the two imagined movements was 72.25 ± 0.004%. The findings suggest that different imagined movements on the same side of a single limb can be recognized real-time based on fNIRS, which may help to further guide the practical application of online fNIRS-BCIs.

11.
ACS Nano ; 2022 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-35404589

RESUMO

Resilient ceramic aerogels are emerging as a fascinating material that features light weight, low thermal conductivity, and recoverable compressibility, promising widespread prospects in the fields of heat insulation, catalysis, filtration, and aerospace exploration. However, the construction of the resilient ceramic aerogels with rational designed multiscale architectures aiming for tunable physical and mechanical performances remains a major challenge. Here, 3D constructed resilient SiC nanowire aerogels possessing programmed geometries and engineered mechanical properties are created via additive manufacturing. The Young's modulus of the fabricated SiC nanowire aerogel lattices are tuned systematically from 0.012 MPa to 5.800 MPa spanning over 2 orders of magnitude. More importantly, the customized lightweight and resilient SiC nanowire aerogels show a low thermal conductivity (0.046 W m-1 K-1). The present work provides another approach to the design and rapid fabrication of resilient ceramic aerogels toward flexible thermal management devices, lightweight engineered structures, and other potential applications.

12.
Sci Total Environ ; 831: 154884, 2022 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-35358528

RESUMO

The rapid development of modern society has largely increased the usage of plastic. Concerns arise when vast amount of plastic waste has been generated and disposed. The accumulated evidences suggest that plastic waste in all the natural matrixes has become a global contaminant, principles such as geological and biogeochemical cycles for plastic pollution have been proposed. Before a full estimation of plastic mass flow, however, the pathways, directions and influences involved in plastic transportation are warranted to be addressed. We made this critical review based on the quantitative and narrative approaches in plastic and microplastic sources, sinks and transportation at global and historical scales. We also addressed the roles of anthropogenic influences in the global transportation of microplastic. The hydrological, meteorological, oceanic and even biological progresses naturally influence the plastic cycle and flow directions within the Earth's Four Spheres. Anthropogenic activities participated in all sections of plastic transportation, from sources to sinks. The contribution from anthropogenic activities remains unknown but several point sources including primary emissions and landfills have been confirmed. The primary outcomes point out that plastic pollution is highly complex issues in terms of natural and human-driven dynamics. We suggested that more efforts were needed in seeking the key sections in plastic transportation between environmental compartments at a global scale.

13.
Angew Chem Int Ed Engl ; 61(22): e202201662, 2022 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-35293093

RESUMO

C(sp3 )-H bond coupling with carbon electrophiles remains rarely explored under thermo-driven hydrogen atom transfer (HAT) conditions due to the challenge of integrating oxidation and reduction in a single operation. We report here a Ni-catalyzed arylation and alkylation of C(sp3 )-H bonds with organohalides to forge C(sp3 )-C bonds by merging economical Zn and tBuOOtBu (DTBP) as the external reductant and oxidant. The mild and easy-to-operate protocol enables facile carbofunctionalization of N-/O-α- and cyclohexane C-H bonds, and preparation of a few intermediates of bioactive compounds and drug derivatives. Preliminary mechanistic studies implied addition of an alkyl radical to a NiII salt.

14.
Small ; 18(19): e2107540, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35322548

RESUMO

Polar domain walls in centrosymmetric ferroelastics induce inhomogeneity that is the origin of advantageous multifunctionality. In particular, polar domain walls promote charge-carrier separation and hence are promising for energy conversion applications that overcome the hurdles of the rate-limiting step in the traditional photoelectrochemical water splitting processes. Yet, while macroscopic studies investigate the materials at the device scale, the origin of this phenomenon in general and the emergence of polar domain walls during the structural phase transition in particular has remained elusive, encumbering the development of this attractive system. Here, it is demonstrated that twin domain walls arise in centrosymmetric BiVO4 films and they exhibit localized piezoelectricity. It is also shown that during the structural phase transition from the tetragonal to monoclinic, the symmetry reduction is accompanied by an emergence of strain gradient, giving rise to flexoelectric effect and the polar domain walls. These results not only expose the emergence of polar domain walls at centrosymmetric systems by means of direct observation, but they also expand the realm of potential application of ferroelastics, especially in photoelectrochemistry and local piezoelectricity.

15.
Anal Chem ; 94(7): 3408-3417, 2022 02 22.
Artigo em Inglês | MEDLINE | ID: mdl-35137578

RESUMO

The development of modern technologies has acclimatized biosensors to complicated applicable scenarios with integrated properties as a whole instead of the pursuit of a single-point breakthrough. Here, we targeted a few concerns in the development of enzyme-based biosensors, including stability, analyte enrichment, and signal transduction, and developed a general biosensing model utilizing enzymes, aggregation-induced emission (AIE) luminogens, and stimuli-responsive framework materials as the units. We propose such proof-of-concept of glucose biosensors by coencapsulating glucose oxidase and AIE-type gold nanoclusters into acid-sensitive zeolite imidazolate framework (ZIF)-8 nanocrystals. The acid-activated degradation of ZIF-8 bridges the molecular signals produced by the enzyme-catalytic reaction of glucose and the photon signals generated by ZIF-8-induced AIE effects of gold nanoclusters, resulting in the "turn-off" model nanoprobes for glucose detection with high selectivity. After embedding the nanoprobes into hollow-out tapes, the formed paper biosensors can conveniently detect glucose with the help of a smartphone.


Assuntos
Técnicas Biossensoriais , Zeolitas , Técnicas Biossensoriais/métodos , Glucose Oxidase/química , Ouro/química , Luminescência , Zeolitas/química
16.
J Cardiovasc Dev Dis ; 9(2)2022 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-35200699

RESUMO

Left atrial appendage thrombus (LAAT) is a surrogate of thromboembolic events in patients with nonvalvular atrial fibrillation (NVAF). We aimed to investigate the risk factors for LAAT formation before catheter ablation and cardioversion beside the CHA2DS2-VASc score. In this case-control study, patients with NVAF who underwent transesophageal echocardiography (TEE) were included. Demographic data, laboratory results, and echocardiographic measurements were retrospectively collected. Logistic regression analysis was performed to determine risk factors predicting LAAT. Of the 543 included patients, LAAT was identified in 50 patients (9.2%). Multivariable logistic regression analysis for the entire cohort showed that NT-proBNP (per 500 ng/L increase, OR (95% CI): 1.09 (1.00-1.19), p = 0.038) and LDL-C (per 1 mmol/L increase, OR (95% CI): 1.70 (1.05-2.77), p = 0.032) were independently correlated with the presence of LAAT after the adjustment for CHA2DS2-VASc score and anticoagulant therapy. The subgroup analysis of patients without anticoagulant therapy also yielded similar results. Regarding patients with CHA2DS2-VASc scores ≤ 1, a higher level of LDL-C (per 1 mmol/L increase, OR (95% CI): 6.31 (2.38-16.74), p < 0.001) independently correlated with the presence of LAAT. The present study suggests that beyond CHA2DS2-VASc score, raised NT-proBNP and LDL-C are additional predictors for LAAT in NVAF patients.

17.
Comput Intell Neurosci ; 2022: 1038901, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35140763

RESUMO

The traditional imagery task for brain-computer interfaces (BCIs) consists of motor imagery (MI) in which subjects are instructed to imagine moving certain parts of their body. This kind of imagery task is difficult for subjects. In this study, we used a less studied yet more easily performed type of mental imagery-visual imagery (VI)-in which subjects are instructed to visualize a picture in their brain to implement a BCI. In this study, 18 subjects were recruited and instructed to observe one of two visual-cued pictures (one was static, while the other was moving) and then imagine the cued picture in each trial. Simultaneously, electroencephalography (EEG) signals were collected. Hilbert-Huang Transform (HHT), autoregressive (AR) models, and a combination of empirical mode decomposition (EMD) and AR were used to extract features, respectively. A support vector machine (SVM) was used to classify the two kinds of VI tasks. The average, highest, and lowest classification accuracies of HHT were 68.14 ± 3.06%, 78.33%, and 53.3%, respectively. The values of the AR model were 56.29 ± 2.73%, 71.67%, and 30%, respectively. The values obtained by the combination of the EMD and the AR model were 78.40 ± 2.07%, 87%, and 48.33%, respectively. The results indicate that multiple VI tasks were separable based on EEG and that the combination of EMD and an AR model used in VI feature extraction was better than an HHT or AR model alone. Our work may provide ideas for the construction of a new online VI-BCI.


Assuntos
Interfaces Cérebro-Computador , Imaginação , Algoritmos , Eletroencefalografia , Humanos , Máquina de Vetores de Suporte
18.
BMC Psychiatry ; 22(1): 95, 2022 02 08.
Artigo em Inglês | MEDLINE | ID: mdl-35135512

RESUMO

Schizophrenia is ranked among the top 25 leading causes of disability worldwide in 2013 which resulting in social and economic burden. By observing patients with schizophrenia one year before and after switching from oral antipsychotics (OAPs) to once-monthly paliperidone palmitate (PP1M), we can better understand the change of total costs in schizophrenic patients, including direct costs and indirect costs, after switching treatment patterns.A total of 100 schizophrenic (ICD-10) patients from Shandong Mental Health Center were collected from December 2016 to June 2019. Treatment modalities, health care resource utilization and costs were compared before and after switching directly from oral antipsychotics to PP1M.Of the 82 patients included in the main analyses, treatment with PP1M resulted in an increase in direct costs of 31.92% (P < 0.01), an increase in medicine costs of approximately 142% (P < 0.01), and a reduction in hospital costs of 68.15% (P > 0.05). There was no significant increase in total costs (P = 0.25), while 31.92% increase in direct costs (P < 0.01), and 35.62% decrease in indirect costs (P < 0.01) after conversion to PP1M. Compared with before administration of PP1M, patients with ≥ 1 inpatient stay in 1 year Pre-PP1M treatment with OAPs (n = 32) had a 20.16% decrease in direct costs (P < 0.01), a 144% increase in medicine costs (P < 0.01), and a significant 72.02% decrease in hospital costs (P < 0.01). The observed reduction in the number of hospitalizations (t = 2.56, P ≤ 0.01) and inpatient stays (t = 1.73, P < 0.05) and after transition to PP1M resulted in a reduction in hospitalization costs (P < 0.01).Switching from OAPs to PP1M decreased the household workforce burden without increasing clinical healthcare costs. Direct costs were significantly reduced in patients with ≥ 1 inpatient stay in 1 year pre-PP1M treatment with OAPs after the switch, which decreased by improving adherence to therapy and reducing the number and length of hospital stays, suggesting that those patients may benefit after switching to PP1M.


Assuntos
Antipsicóticos , Esquizofrenia , Administração Oral , Preparações de Ação Retardada/uso terapêutico , Custos de Cuidados de Saúde , Humanos , Medicaid , Palmitato de Paliperidona , Estudos Retrospectivos , Esquizofrenia/tratamento farmacológico
19.
Natl Sci Rev ; 9(1): nwab140, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35070330

RESUMO

Carbon is one of the most fascinating elements due to its structurally diverse allotropic forms stemming from its bonding varieties (sp, sp 2 and sp 3). Exploring new forms of carbon has been the eternal theme of scientific research. Herein, we report on amorphous (AM) carbon materials with a high fraction of sp 3 bonding recovered from compression of fullerene C60 under high pressure and high temperature, previously unexplored. Analysis of photoluminescence and absorption spectra demonstrates that they are semiconducting with a bandgap range of 1.5-2.2 eV, comparable to that of widely used AM silicon. Comprehensive mechanical tests demonstrate that synthesized AM-III carbon is the hardest and strongest AM material known to date, and can scratch diamond crystal and approach its strength. The produced AM carbon materials combine outstanding mechanical and electronic properties, and may potentially be used in photovoltaic applications that require ultrahigh strength and wear resistance.

20.
Anal Chim Acta ; 1192: 339331, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-35057923

RESUMO

Herein, we report a facile and label-free method for sensitive and specific determination of prostate cancer biomarker sarcosine via using photoluminescent bimetallic Au/Cu nanoplatelets (AuCu NPs) to construct an inner filter effect (IFE)-based photoluminescence (PL) sensing platform. The AuCu NPs were formed by the cysteine-induced co-reduction reaction, which displayed bright PL with an emission peak at 560 nm. Meanwhile, the Cu(I) doping caused a maximum 25-fold enhancement of quantum yield (QY), compared with the native Au(I) complexes, i.e., from 0.85 to 21.5%. By integrating the AuCu NPs with p-phenylenediamine (PPD) oxidation reaction, an IFE-based sensor for sarcosine detection was constructed. In this method, sarcosine is oxidized under the catalysis of sarcosine oxidase (SOx) to yield H2O2. The latter further oxidizes PPD to form 2,5-diamino-N,N'-bis(p-aminophenyl)-l,4-benzoquinone di-imine (PPDox) in the presence of horseradish peroxidase (HRP). The UV-vis absorption spectrum of the PPDox can overlap well with the excitation and emission spectra of the AuCu NPs, resulting in the efficient quenching of the AuCu NPs via the IFE effect. Therefore, this IFE-based AuCu NPs/SOx/PPD/HRP sensing platform can be used for highly sensitive and specific sensing of sarcosine. The sensing platform showed two linear regions of the PL intensity of the AuCu NPs versus the concentration of sarcosine in the range of 0.5-5 µM and 5-100 µM with a detection limit (LOD) of 0.12 µM (S/N = 3). Furthermore, this IFE-based sensing platform could be developed into a paper-based biosensor for simple, instrument-free, and visual detection of sarcosine.


Assuntos
Técnicas Biossensoriais , Sarcosina , Biomarcadores Tumorais/análise , Peroxidase do Rábano Silvestre , Humanos , Peróxido de Hidrogênio , Masculino , Neoplasias da Próstata , Sarcosina/análise , Sarcosina Oxidase
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