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1.
Microsurgery ; 2022 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-35043463

RESUMO

BACKGROUND: Perforator propeller flaps (PPFs) have been widely used due to their numerous advantages; however, they were also associated with various complications. Herein, we analyzed the risk factors for complications of PPFs used for soft tissue reconstruction after malignant tumor resection. METHODS: We searched databases for articles on soft tissue reconstruction using PPFs after malignant tumor resection published between January 1991 and April 2021. Studies were selected according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. Fixed effects models and relative risks were used for data analysis. Funnel plots and Begg's test were used to evaluate publication bias. RESULTS: Twenty-six articles met the inclusion criteria. Complications were found in 24.7% of all patients. The four significant risk factors were age equal or older than 60 years (pooled relative risk, 1.83; p = .04), smoking (pooled relative risk, 2.32; p = .03), diabetes (pooled relative risk, 2.59; p = .01) and radiotherapy (pooled relative risk, 2.09; p = .01). Hypertension, defects located in the extremities, flap size equal or greater than 100 cm2 , and pedicle rotation equal or greater than 120 degrees were not significant risk factors for complications. No publication bias was found in the included articles. CONCLUSION: Age equal or older than 60 years, smoking, diabetes and radiotherapy are four risk factors for complications when PPFs are used to reconstruct soft tissue defects resulting from malignant tumor resection.

2.
BMC Musculoskelet Disord ; 22(1): 1039, 2021 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-34903231

RESUMO

STUDY DESIGN: Retrospective case series. OBJECTIVES: This study aimed to determine the prevalence and risk factors for orthostatic hypotension (OH) in adolescents undergoing posterior spinal fusion for spinal deformity correction. METHODS: The data of 282 consecutive adolescents who underwent posterior spinal fusion for spinal deformity correction in our center over 12 months were retrieved. Patient characteristics, including whether laminectomy or osteotomy was performed during the surgery, the occurrence of postoperative nausea and vomiting (PONV), perioperative hemoglobin albumin changes, perioperative blood transfusion, length of bed rest, willingness to ambulate, length of postoperative exercises of the lower limbs, and length of hospital stay, were collected and compared statistically between patients who did and did not develop postoperative OH. RESULTS: Of 282 patients, 197 (69.86%) developed OH postoperatively, and all cases completely resolved 5 days after the first out-of-bed exercises. Significant differences in the incidence of PONV, the willingness to ambulate and the length of postoperative exercises of the lower limbs were observed. The mean length of hospital stay of the patients with OH was longer than that of the patients without OH. CONCLUSION: Our study suggests that temporary OH is a common manifestation following posterior spinal fusion for spinal deformity correction in adolescents. Postoperative OH may increase the length of hospital stay in these patients. Patients with PONV, who are not willing to ambulate and who perform postoperative lower limb exercises for a shorter time are more likely to have OH.


Assuntos
Hipotensão Ortostática , Fusão Vertebral , Adolescente , Humanos , Hipotensão Ortostática/diagnóstico , Hipotensão Ortostática/epidemiologia , Hipotensão Ortostática/etiologia , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Náusea e Vômito Pós-Operatórios , Prevalência , Estudos Retrospectivos , Fatores de Risco , Fusão Vertebral/efeitos adversos , Resultado do Tratamento
3.
Genes (Basel) ; 12(11)2021 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-34828397

RESUMO

Depletion of ptk7 is associated with both congenital scoliosis (CS) and adolescent idiopathic scoliosis (AIS) in zebrafish models. However, only one human variant of PTK7 has been reported previously in a patient with AIS. In this study, we systemically investigated the variant landscape of PTK7 in 583 patients with CS and 302 patients with AIS from the Deciphering Disorders Involving Scoliosis and COmorbidities (DISCO) study. We identified a total of four rare variants in CS and four variants in AIS, including one protein truncating variant (c.464_465delAC) in a patient with CS. We then explored the effects of these variants on protein expression and sub-cellular location. We confirmed that the c.464_465delAC variant causes loss-of-function (LoF) of PTK7. In addition, the c.353C>T and c.2290G>A variants identified in two patients with AIS led to reduced protein expression of PTK7 as compared to that of the wild type. In conclusion, LoF and hypomorphic variants are associated with CS and AIS, respectively.

4.
ACS Appl Mater Interfaces ; 13(47): 56498-56509, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34784166

RESUMO

Lithium metal is considered as a strongly attractive anode candidate for the high-energy-storage field, but its dreadful dendrite growth has haunted its commercialization progress. Herein, we develop a lithiophilic Nb2O5-embedded three-dimensional (3D) carbon nanofiber network (Nb2O5-CNF) as a scaffold to preload molten Li for the fabrication of dendrite-free composite anode. The in situ lithiation reaction between molten Li and Nb2O5 nanocrystals results in the formation of nanosize LixNbyO nanoparticles, which can serve as preferred sites that regulate nucleation/growth behavior of Li during the plating process. Besides, due to its high structural stability and abundant internal inner space, the 3D CNF network can function as a reservoir to confine the dimensional expansion of "hostless Li". The resulting Li composite anodes exhibit enlarged active areas and reduced interfacial energy barriers, delivering a prolonged cycling of 1000 h with an ultralow hysteresis of 52 mV and dendrite-free morphology in a symmetric cell (1.0 mA cm-2). Coupled with the LiFePO4 cathode, the Li@Nb2O5-CNF anode sustains a reversible capacity of 163 mAh g-1 with an excellent capacity retention of 93.0% after 370 cycles at 0.5C. This all-around strategy of lithiophilic sites coupled with a 3D conductive nanofiber matrix may shed light on promising applications of high-capacity and dendrite-free Li-metal batteries.

5.
Sci Rep ; 11(1): 22307, 2021 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-34785683

RESUMO

The flow state of oil film in the hydrostatic lead screw directly affects the transmission performance of the screw pair. The static and dynamic characteristics of a new type of double driven hydrostatic screw-nut pair (DDHSNP) are studied under different motion modes. The boundary condition of navier slip model is introduced into the lubricating mathematical model of DDHSNP, and the influences of boundary slip on the axial bearing capacity, axial stiffness and damping coefficient in micro scale are researched by finite difference method. The results show that when the motor runs at high speed (the rotating speed range of the screw and nut driven motor is 1000-9000 rpm), the existence of boundary slip leads to a improvement of the axial bearing capacity and stiffness coefficient of DDHSNP in the case of single-drive operation and dual-drive differential feed (the range of rotation difference is 10-100 rpm), which is more obvious under the single-drive mode. The increase rate of stiffness coefficient induced by boundary slip is much larger than that of bearing capacity. In addition, the boundary slip has little effect on the damping coefficient of DDHSNP in either single drive operation or dual drive differential operation.

6.
JAMA Netw Open ; 4(10): e2131040, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34698846

RESUMO

Importance: Obesity is a public health challenge in China, but the geographical profiles of overweight and obesity among Chinese children are limited. Objective: To examine regional disparities in the prevalence of obesity among the heterogeneous population of Chinese children and adolescents to provide a more accurate profile of obesity among children in China. Design, Setting, and Participants: The Prevalence and Risk Factors for Obesity and Diabetes in Youth (PRODY) study was a cross-sectional survey study conducted from January 1, 2017, to December 31, 2019, among 201 098 children aged 3 to 18 years from 11 provinces, autonomous regions, and municipalities that produced a sample of Chinese children with a full range of ages and wide geographical coverage using a multistage, stratified, cluster-sampling design. Exposures: Five regions geographically representative of China (northern, eastern, southern, western, and central). Main Outcomes and Measures: The body weights and heights of all participants were measured. Multilevel, multinomial logistic regression models were used to estimate the prevalence of overweight and obesity. Results: Among 201 098 healthy children (105 875 boys [52.6%]; mean [SD] age, 9.8 [3.8] years) from eastern, southern, northern, central, and western China, the highest obesity prevalence was estimated for children aged 8 to 13 years in northern China (from 18.8% [95% CI, 16.2%-21.7%] to 23.6% [95% CI, 20.5%-26.9%]) and for boys aged 3 to 6 years in western China (from 18.1% [95% CI, 10.4%-29.4%] to 28.6% [95% CI, 14.3%-49.0%]). Boys had a higher prevalence than girls of obesity only in eastern and northern China, with a mean difference in prevalence of 4.6% (95% CI, 3.8%-5.4%) and 7.6% (95% CI, 6.5%-8.6%), respectively. Conclusions and Relevance: In this survey study, substantial geographic disparities in the prevalence of obesity and overweight were found among the heterogeneous population of Chinese children. The results suggest that special attention should be paid to vulnerable children and that regionally adapted interventions are needed to efficiently mitigate obesity in children.

7.
J Nanobiotechnology ; 19(1): 355, 2021 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-34717654

RESUMO

BACKGROUND: Hepatocellular carcinoma (HCC) is a common malignant tumor with high rate of metastasis and recurrence. Although immune checkpoint blockade (ICB) has emerged as a promising type of immunotherapy in advanced HCC, treatment with ICB alone achieves an objective remission rate less than 20%. Thus, combination therapy strategies is needed to improve the treatment response rate and therapeutic effect. METHODS:  A light-triggered disassembly of nanoplatform (TB/PTX@RTK) co-loaded an aggregation induced emission (AIE) photosensitizer (TB) and paclitaxel (PTX) was prepared for on-command drug release and synergistic chemo-photodynamic therapy (chemo-PDT). Nano-micelles were characterized for drug loading content, hydrodynamic size, absorption and emission spectra, reactive oxygen species production, and PTX release from micelles. The targeted fluorescence imaging of TB/PTX@RTK micelles and the synergistic anti-tumor efficacy of TB/PTX@RTK micelles-mediated chemo-PDT combined with anti-PD-L1 were assessed both in vitro and in vivo. RESULTS: The TB/PTX@RTK micelles could specifically accumulate at the tumor site through cRGD-mediated active target and facilitate image-guided PDT for tumor ablation. Once irradiated by light, the AIE photosensitizer of TB could produce ROS for PDT, and the thioketal linker could be cleaved by ROS to precise release of PTX in tumor cells. Chemo-PDT could not only synergistically inhibit tumor growth, but also induce immunogenic cell death and elicit anti-tumor immune response. Meanwhile, chemo-PDT significantly upregulated the expression of PD-L1 on tumor cell surface which could efficiently synergize with anti-PD-L1 monoclonal antibodies to induce an abscopal effect, and establish long-term immunological memory to inhibit tumor relapse and metastasis. CONCLUSION: Our results suggest that the combination of TB/PTX@RTK micelle-mediated chemo-PDT with anti-PD-L1 monoclonal antibodies can synergistically enhance systemic anti-tumor effects, and provide a novel insight into the development of new nanomedicine with precise controlled release and multimodal therapy to enhance the therapeutic efficacy of HCC.

8.
Aesthetic Plast Surg ; 2021 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-34609526

RESUMO

BACKGROUND: Postoperative facial scarring can be a significant psychological burden for patients to carry after surgery, often resulting in prolonged mental health dysfunction. Currently, there is no established method to prevent facial scar formation; however, there are several methods to prevent facial scar hyperplasia and improve scar quality. Botulinum toxin A (BTA) has been widely used due to its properties of muscle paralysis and known success in plastic surgery and cosmetology. This meta-analysis aimed to evaluate the efficacy of BTA in preventing postoperative facial scar hyperplasia and improving scar quality. METHODS: PubMed, MEDLINE, EMBASE, web of science, and Cochrane libraries were searched for randomized controlled trials (RCTs) (published before May 2021) wherein BTA was used for the treatment of facial scars. The efficacy and safety of BTA were evaluated by the following scales: the Vancouver Scar Scale (VSS), Visual Analog Scale (VAS), Observer Scar Assessment Scale (OSAS), Patient Scar Assessment Scale (PSAS), and Stony Brook Scar Evaluation Scale (SBSES); the BTA effect on scar width and complications was also assessed. RESULTS: Ten RCTs involving 114 cases were included. Through quantitative analysis, the BTA injection group had a higher VAS score, lower VSS score, lower OSAS score, and smaller scar width. However, no significant difference was noted in the incidence of postoperative complications between the two groups. CONCLUSIONS: This meta-analysis demonstrated that BTA can safely improve the appearance of postoperative facial scars by significantly inhibiting scar hyperplasia and improving scar quality. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

9.
BMC Musculoskelet Disord ; 22(1): 779, 2021 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-34511086

RESUMO

BACKGROUND: Contradictory opinions about whether early correction and fusion surgeries should be performed for congenital scoliosis (CS) patients at a young age exist. The objectives of this study were to analyze the association between patient characteristics and fusion-surgery outcomes in CS patients treated with spinal correction and fusion surgeries and to report risk factors for extended length of stay (LOS), more estimated blood loss (EBL), longer fused segments and higher medical costs. METHODS: We analyzed data of 1,207 CS inpatients treated with fusion surgeries in our institute from January 2010 - December 2019. All patients underwent spinal X-ray, CT, MRI, echocardiogram and urogenital ultrasound. We analyzed demographic and clinical information and outcome measures, including LOS, EBL, fused segments and medical costs. RESULTS: Age at fusion (OR = 1.053; p < 0.001), musculoskeletal defects (OR = 1.670; p = 0.004) and thoracic deformity (OR = 1.519; p = 0.03) were risk factors for extended LOS. Age at fusion (OR = 1.117; p < 0.001), male sex (OR = 1.813; p < 0.001), mixed defects (OR = 1.662; p = 0.027) and failure of formation (OR = 1.718; p = 0.021) were risk factors for more EBL. Age at fusion (OR = 1.213; p < 0.001) was a risk factor for longer fused segments. Age at fusion (OR = 1.091; p < 0.001) and thoracic deformity (OR = 1.853; p = 0.004) were risk factors for higher medical costs. CONCLUSIONS: We found that older age at fusion in CS patients is a risk factor for extended LOS, more EBL, longer fused segments and higher medical costs with the risk increasing by 5-21 % for each year of age. Other identified risk factors include thoracic deformity for extended LOS; longer fused segments, higher medical costs, and musculoskeletal defects for extended LOS; and CS type (FF and MD) and sex (male) for more EBL.


Assuntos
Escoliose , Fusão Vertebral , Idoso , Humanos , Tempo de Internação , Masculino , Estudos Retrospectivos , Fatores de Risco , Escoliose/diagnóstico por imagem , Escoliose/epidemiologia , Escoliose/cirurgia , Fusão Vertebral/efeitos adversos , Resultado do Tratamento
10.
Patient Prefer Adherence ; 15: 1981-1990, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34522091

RESUMO

Purpose: The purpose of the present study was to investigate the current status of and factors influencing the demands for telenursing-based long-term care in disabled older adults. Methods: In this cross-sectional study, data from 213 participants from five districts of Qingdao, China, were investigated using multistage stratified sampling. The assessment scale of the long-term care demands level and the questionnaire of the demands of telenursing-based long-term care for disabled older adults were used to estimate the demands for telenursing-based long-term care for older adults with disabilities in Qingdao. Results: Of the participants, 60.51% were willing to receive telenursing-based long-term care. The item with the highest score was "Internet +" information management and first aid (3.77 ± 0.71); the item with the lowest score was "Internet +" daily care (2.97 ± 0.72). Average family income (P < 0.001), age (P = 0.004) and educational level (P = 0.003) were significant factors influencing the demands for telenursing-based long-term care. Conclusion: Disabled older adults had a high demand for telenursing-based long-term care. Urgent actions are needed to integrate telenursing with long-term care as soon as possible. In the development of telenursing-based long-term care, it is necessary to fully consider the average family income, age and educational level of disabled older adults.

11.
Zhongguo Dang Dai Er Ke Za Zhi ; 23(9): 933-937, 2021.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-34535209

RESUMO

OBJECTIVES: To study the clinical features of obstructive sleep apnea (OSA) in children with obesity. METHODS: A retrospective analysis was performed on the medical data of 33 obese children aged 7-15 years, who were diagnosed with OSA and received polysomnography (PSG) in the Department of Respiratory Medicine in Shenzhen Children's Hospital. Fifty OSA children with normal body weight, matched for sex and age, were enrolled as the control group. RESULTS: Among the 33 obese children with OSA, the three most common daytime symptoms were inattention in 30 children (91%), somnolence in 22 children (67%), and morning fatigue in 21 children (64%), and the three most common nocturnal symptoms were snoring in 27 children (82%), mouth breathing in 20 children (61%), and sweating in 16 children (49%). Compared with the reference values of normal children, both the OSA + obesity group and the control group had prolonged light sleep, shortened deep sleep, and a significantly shortened rapid eye movement (REM) period, while there was no significant difference in these indices between the two groups (P>0.05). The apnea-hypopnea index, obstructive apnea/hypopnea index, and oxygen desaturation index in both REM and non-REM periods in the OSA +obesity group were significantly higher than those in the control group (P<0.05), while the lowest blood oxygen saturation during sleep was significantly lower in the OSA + obesity group (P<0.05). CONCLUSIONS: The children with obesity and OSA have the main daytime symptoms of inattention, somnolence, and morning fatigue and the main nocturnal symptoms of snoring, mouth breathing, and sweating. There is no significant difference in sleep structure between OSA children with obesity and those with normal body weight; however, respiratory events and blood oxygen saturation decline are more severe in OSA children with obesity. Citation.


Assuntos
Obesidade Pediátrica , Apneia Obstrutiva do Sono , Criança , Humanos , Obesidade Pediátrica/complicações , Polissonografia , Estudos Retrospectivos , Apneia Obstrutiva do Sono/complicações , Ronco
12.
Bioengineered ; 12(1): 4546-4555, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34414854

RESUMO

This study hoped to explore the effects and mechanism of long non-coding RNA (lncRNA) LUCAT1 regulating microRNA-181a-5p (miR-181a-5p) on oxidative stress and apoptosis of cardiomyocytes induced by H2O2. Totally, 72 patients with acute myocardial infarction (AMI) were included. H9c2 cardiomyocytes were cultured in vitro, and the H2O2 model of cardiomyocytes was established. The expression levels of LUCAT1 and miR-181a-5p were detected by qRT-PCR after H2O2 induction. The contents of reactive oxygen species (ROS), superoxide dismutase (SOD), and malondialdehyde (MDA) in cells were detected. The survival rate of the cells was detected by the Cell Counting Kit-8 (CCK-8) method; the apoptosis was detected by flow cytometry. The luciferase reporter experiment and quantitative real-time PCR (qRT-PCR) were used to verify the targeted relationship between LUCAT1 and miR-181a-5p. LUCAT1 was lowly expressed in the AMI patients. After H2O2 induction, the expression of LUCAT1 in H9c2 cells lessened significantly, while the expression of miR-181a-5p elevated significantly (P < 0.001). Transfection of p-LUCAT1 significantly reversed the decreased SOD levels, the increased MDA and ROS content, and the elevated tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1 beta (IL-1ß) in H2O2-stimulated cells (P < 0.001). Upregulation of LUCAT1 contributed to the mitigation of H2O2 injury by promoting viable cells and repressing apoptotic cells (P < 0.01). LUCAT1 targeted miR-181a-5p and negatively regulated miR-181a-5p expression (P < 0.001). Collectively, LUCAT1 played a protective role on oxidative stress injury, inflammation, viability, and apoptosis of cardiomyocytes induced by H2O2 via regulating miR-181a-5p.

13.
Genes (Basel) ; 12(8)2021 07 24.
Artigo em Inglês | MEDLINE | ID: mdl-34440300

RESUMO

FGFR1 encodes a transmembrane cytokine receptor, which is involved in the early development of the human embryo and plays an important role in gastrulation, organ specification and patterning of various tissues. Pathogenic FGFR1 variants have been associated with Kallmann syndrome and hypogonadotropic hypogonadism. In our congenital scoliosis (CS) patient series of 424 sporadic CS patients under the framework of the Deciphering disorders Involving Scoliosis and COmorbidities (DISCO) study, we identified four unrelated patients harboring FGFR1 variants, including one frameshift and three missense variants. These variants were predicted to be deleterious by in silico prediction and conservation analysis. Signaling activities and expression levels of the mutated protein were evaluated in vitro and compared to that of the wild type (WT) FGFR1. As a result, the overall protein expressions of c.2334dupC, c.2339T>C and c.1261A>G were reduced to 43.9%, 63.4% and 77.4%, respectively. By the reporter gene assay, we observed significantly reduced activity for c.2334dupC, c.2339T>C and c.1261A>G, indicating the diminished FGFR1 signaling pathway. In conclusion, FGFR1 variants identified in our patients led to only mild disruption to protein function, caused milder skeletal and cardiac phenotypes than those reported previously.

14.
ACS Appl Mater Interfaces ; 13(29): 35008-35018, 2021 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-34275287

RESUMO

Accelerating the redox reaction of polysulfides via catalysis is an effective way to suppress the shuttling effect in lithium-sulfur (Li-S) cells. However, recent studies have mainly focused on the singular function of the catalyst, i.e., either oxidation or reduction of polysulfides. As such, the goal of rapid cycling of sulfur species remains to be highly desired. Herein, a Pt-carbide composite as a bifunctional catalyst was developed to simultaneously accelerate both the reduction of soluble polysulfides and the oxidation of insoluble Li2S/Li2S2. Typically, a Pt-NbC composite was synthesized by growing Pt nanoparticles on the surface of NbC, and the resultant intimate interface in the hybrid is a key component for the bifunctional catalysis. During the reduction process, polysulfides could be grabbed on the surface of NbC via strong adsorption, and then these trapped polysulfides could be catalytically converted by Pt nanoparticles. During the oxidation process, both NbC and Pt exhibited catalytic activities for the dissolution of Li2S. This process could lead to the renewal of the surface of the catalyst. By combining the sulfur cathode with a Pt-NbC-CNT (Pt-NbC anchored on a carbon nanotube)-coated separator, the cell was able to demonstrate a high initial capacity of 1382 mAh g-1 at a current density of 0.2C. Furthermore, the cell was able to achieve an exceptional rate capability of 795 mAh g-1 at 5C, and it was also able to show significantly inhibited self-discharge behavior. Thus, this work explores the catalyst design and the mechanism of a bifunctional catalyst for the performance enhancement in Li-S cells.

15.
Eur Spine J ; 30(12): 3577-3584, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34235574

RESUMO

PURPOSE: This study systematically analyzed and assessed the interrelationships among vertebral anomaly location, congenital scoliosis (CS) type and associated abnormality prevalence. METHODS: We retrospectively extracted medical records of 1289 CS inpatients surgically treated in our institute from January 2010-December 2019. All patients underwent spinal X-ray, CT, MRI, echocardiogram, urogenital ultrasound and systemic physical examination. We analyzed information on demographics, CS type, associated anomalies and vertebral anomaly location. RESULTS: Cervical, thoracic and lumbar vertebral anomalies were found in 5.7%, 78.1% and 33.6% of patients, respectively. 82.7% had one region involved. 59.5% with cervical malformations had mixed defects and 61.1% with lumbar malformations exhibited failure of formation. The musculoskeletal defect prevalence was 28.4%, 19.1% and 9.0% in patients with cervical, thoracic and lumbar anomalies. The intraspinal defect prevalence was 33.4% and 20.7% for thoracic and lumbar anomalies. 86.5% of patients with cervical anomalies had more than one region involved, while 78.1% and 62.2% with thoracic and lumbar anomalies, respectively, had only one region involved. CONCLUSIONS: Cervical malformations had higher prevalence of mixed defects, musculoskeletal and intraspinal defects and multi-region involved. Thoracic malformations had higher prevalence of intraspinal and musculoskeletal defects and more involvement of only one vertebral region. Lumbar vertebral malformation patients had much lower prevalence of intraspinal and musculoskeletal defects and more involvement of only one vertebral region. Cervical malformation was a risk factor for more associated anomalies and more severe vertebral anomalies, which deserves more attention from surgeons in outpatient clinic.

16.
Chin J Cancer Res ; 33(3): 391-404, 2021 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-34321835

RESUMO

Objective: Previous investigations of circulating tumor cells (CTCs) have mainly focused on their genomic or transcriptomic features, leaving their epigenetic landscape relatively uncharacterized. Here, we investigated the genome-wide DNA methylome of CTCs with a view to understanding the epigenetic regulatory mechanisms underlying cancer metastasis. Methods: We evaluated single-cell DNA methylome and copy number alteration (CNA) in 196 single cells, including 107 CTCs collected from 17 cancer patients covering six different cancer types. Our single-cell bisulfite sequencing (scBS-seq) covered on average 11.78% of all CpG dinucleotides and accurately deduced the CNA patterns at 500 kb resolution. Results: We report distinct subclonal structures and different evolutionary histories of CTCs inferred from CNA and DNA methylation profiles. Furthermore, we demonstrate potential tumor origin classification based on the tissue-specific DNA methylation profiles of CTCs. Conclusions: Our work provides a comprehensive survey of genome-wide DNA methylome in single CTCs and reveals 5-methylcytosine (5-mC) heterogeneity in CTCs, addressing the potential epigenetic regulatory mechanisms underlying cancer metastasis and facilitating the future clinical application of CTCs.

17.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi ; 38(7): 663-666, 2021 Jul 10.
Artigo em Chinês | MEDLINE | ID: mdl-34247373

RESUMO

OBJECTIVE: To explore gender difference in the clinical manifestations of two children with Keishi-Bukuryo-Gan syndrome (KBGS). METHODS: Clinical manifestations of the two children were reviewed. Genetic testing was carried out through next generation sequencing (NGS). Treatment was summarized, and the prognosis was followed up. RESULTS: Both children showed particular appearance including megatooth, abnormal hair distribution, hands' abnormality and language development delay. NGS revealed that both children have carried pathogenic variants of the ANKRD11 gene (c.1903_1907del and c.4911delT), which resulted in shifting of amino acid sequences starting from the Lysine and Proline at positions 635 and 1638, respectively. The female patient exhibited central precocious puberty. Her height has increased by 13 cm, and sex characteristics has retracted after treatment with leuprorelin for 23 months and recombinant human growth hormone for 1 month. CONCLUSION: Comparison of the two cases with different genders and summary of previously reported cases found that male KBGS patients have more obvious dysmorphisms such as triangular face, synophrys, ocular hypertelorism and vertebral body abnormality, with higher morbidity of epilepsy, mental retardation, autism, congenital heart disease, immune thrombocytopenia and other complications. KBGS is an autosomal dominant disease featuring more evident peculiar appearance and global development delay. Male patients often have multi-system involvement, and multidisciplinary cooperation is required for early recognition of particular features in order to improve the prognosis.


Assuntos
Deficiência Intelectual , Anormalidades Múltiplas , Doenças do Desenvolvimento Ósseo , Criança , Facies , Feminino , Humanos , Masculino , Fenótipo , Proteínas Repressoras/genética , Caracteres Sexuais , Anormalidades Dentárias
18.
Nanomaterials (Basel) ; 11(6)2021 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-34070770

RESUMO

Electrolysis of water to produce hydrogen is crucial for developing sustainable clean energy and protecting the environment. However, because of the multi-electron transfer in the oxygen evolution reaction (OER) process, the kinetics of the reaction is seriously hindered. To address this issue, we designed and synthesized hollow CoP/FeP4 heterostructural nanorods interwoven by carbon nanotubes (CoP/FeP4@CNT) via a hydrothermal reaction and a phosphorization process. The CoP/FeP4@CNT hybrid catalyst delivers prominent OER electrochemical performances: it displays a substantially smaller Tafel slope of 48.0 mV dec-1 and a lower overpotential of 301 mV at 10 mA cm-2, compared with an RuO2 commercial catalyst; it also shows good stability over 20 h. The outstanding OER property is mainly attributed to the synergistic coupling between its unique CNT-interwoven hollow nanorod structure and the CoP/FeP4 heterojunction, which can not only guarantee high conductivity and rich active sites, but also greatly facilitate the electron transfer, ion diffusion, and O2 gas release and significantly enhance its electrocatalytic activity. This work offers a facile method to develop transition metal-based phosphide heterostructure electrocatalysts with a unique hierarchical nanostructure for high performance water oxidation.

19.
Front Endocrinol (Lausanne) ; 12: 603277, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33935963

RESUMO

Aims: Findings from previous studies about the association of preterm birth as well as birth weight with the risk of T1DM were still inconsistent. We aimed to further clarify these associations based on Chinese children and explore the role of gender therein. Methods: A nationwide multicenter and population-based large cross-sectional study was conducted in China from 2017 to 2019. Children aged between 3 and 18 years old with complete information were included in this analysis. Multiple Poisson regression models were used for evaluating the associations of birth weight as well as preterm birth with T1DM in children. Results: Out of 181,786 children, 82 childhood T1DM cases were identified from questionnaire survey. Children with preterm birth (<37 weeks) had higher risk of type 1 diabetes (OR: 3.17, 95%CI: 1.76-5.71). Children born with high birth weight (≥4,000g) had no statistically significant risk of T1DM (OR:1.71, 95%CI: 0.90-3.22). However, children's gender might modify the effect of high birth weight on T1DM (girls: OR: 3.15, 95%CI: 1.33-7.47; boys: OR: 0.99, 95%CI: 0.38-2.55, p for interaction=0.065). In addition, children with low birth weight were not associated with T1DM (OR: 0.70, 95%CI: 0.24-2.08). The findings from matched data had the similar trend. Conclusions: In China mainland, preterm birth increased the risk of childhood T1DM, but high birth weight only affected girls. Therefore, early prevention of T1DM may start with prenatal care to avoid adverse birth outcomes and more attention should be paid to children with preterm birth and girls with high birth weight after birth.

20.
Nanoscale ; 13(21): 9651-9658, 2021 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-34013941

RESUMO

Water electrolysis is a significant alternative technique to produce clean hydrogen fuel in order to replace environmentally destructive fossil fuel combustion. However, the sluggish oxygen evolution kinetics makes this process vulnerable as it requires relatively high overpotentials. Hence, significantly effective electrocatalysts are necessary to access the water-oxidation process at a low overpotential to make this process industrially viable. Therefore, in order to reduce the energy barrier, we developed bimetallic CoSe2-FeSe2 heteronanoparticles along the carbon nanotube network (CoSe2-FeSe2/CNT) via a facile selenization strategy. Due to the unique assembly of highly conductive nanoparticles along the CNT network, the CoSe2-FeSe2/CNT displays an exceptionally good oxygen evolution (OER) activity; it requires 248 mV overpotential to reach a current density of 10 mA cm-2 (η10) with an ultra-low Tafel slope of 36 mV dec-1 and displays an overpotential of 1.59 V (η10) in the full water-splitting catalysis with the commercial Pt/C cathode. The high OER activity of CoSe2-FeSe2/CNT over the monometallic CoSe2/CNT and FeSe2/CNT electrocatalysts approve the synergistic interactions. Therefore, the superior performance is possibly ascribed to the unique porous nanoarchitecture and the strong coupling interactions between CoSe2 and FeSe2 heteronanoparticles on the conductive network. This study introduces an innovative approach to rationally design and fabricate cost-effective and highly proficient electrocatalysts for boosted OER performance.

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