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1.
Small ; : e2105033, 2021 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-34729905

RESUMO

The specific coagulation in the tumor vasculature has the potential for the ablation of solid tumors by cutting off the blood supply. However, the safe delivery of effective vessel occluding agents in the tumor-specific embolization therapy remains challenging. Herein, it is reported that the photothermal responsive tumor-specific embolization therapy based on thrombin (Thr) is delivered by intravenous injection via the phase-change materials (PCM)-based nanoparticles. The wax sealing profile of PCM enables safe delivery and prevents the preleakage of Thr in the blood circulation. While in the tumor site, the thermal effect induced by IR780 triggers the melting of PCM and rapidly releases Thr to generate coagulation in the tumor blood vessels. Based on the safe delivery and controllable release of Thr, thermal responsive tumor-specific embolization therapy could be achieved with high efficiency and no significant damage to normal organs and tissues. The safe administration of Thr to induce vascular infarction in tumors based on PCM nanoparticles in this work shows a promising strategy for improving the therapeutic specificity and efficacy of coagulation-based tumor therapy.

2.
Small ; : e2104482, 2021 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-34796649

RESUMO

The excellent stretchability and biocompatibility of flexible sensors have inspired an emerging field of plant wearables, which enable intimate contact with the plants to continuously monitor the growth status and localized microclimate in real-time. Plant flexible wearables provide a promising platform for the development of plant phenotype and the construction of intelligent agriculture via monitoring and regulating the critical physiological parameters and microclimate of plants. Here, the emerging applications of plant flexible wearables together with their pros and cons from four aspects, including physiological indicators, surrounding environment, crop quality, and active control of growth, are highlighted. Self-powered energy supply systems and signal transmission mechanisms are also elucidated. Furthermore, the future opportunities and challenges of plant wearables are discussed in detail.

3.
J Neurooncol ; 2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34797524

RESUMO

PURPOSE: Autophagy-dependent tumorigenic growth is one of the most commonly reported molecular mechanisms in glioblastoma (GBM) progression. However, the mechanistic correlation between autophagy and GBM is still largely unexplored, especially the roles of autophagy-related genes involved in GBM oncogenesis. In this study, we aimed to explore the genetic alterations that interact with both autophagic activity and GBM tumorigenesis, and to investigate the molecular mechanisms of autophagy involved in GBM cell death and survival. METHOD: For this purpose, we systematically explored the alterations of autophagic molecules at the genome level in human GBM samples through deep RNA sequencing. The effect of genetic and pharmacologic inhibition of ERK on GBM growth in vitro and in vivo was researched. An image-based tracking analysis of LC3 using mCherry-eGFP-LC3 plasmid, and transmission electron microscopy were utilized to monitor autophagic flux. Immunoblot analysis was used to measure the related proteins. RESULTS: MAPK ERK expression was identified as one of the most probable autophagy-related transcriptional responses during GBM growth. The genetic and pharmacologic inhibition of ERK in vivo and in vitro led to cell death, demonstrating its critical role for GBM proliferation and survival. To our surprise, autophagic activities were excessively activated and resulted in cytodestructive effects on GBM cells upon ERK inhibitor treatment. Furthermore, based on the observation of downregulation of mTOR signaling, we speculated the ERK inhibitor-induced GBM cells death might depend on mTOR-mediated pathway, leading to autophagy dysregulation. Accordingly, the in vivo and in vitro experiments revealed that the mTOR inhibitor rapamycin further increased cell mortality and exhibited enhanced antitumor effect on GBM cells when co-treated with the ERK inhibitor. CONCLUSION: Our data creatively demonstrated that the autophagy-related regulator ERK maintains autophagic activity during GBM tumorigenesis via mTOR signaling pathway. The pharmacologic inhibition of both mTOR and ERK signaling exhibited synergistic therapeutic effect on GBM growth in vivo and in vitro, which has certain novelty and may provide a potential therapeutic approach for GBM treatment in the future.

4.
Ann Palliat Med ; 10(10): 10706-10711, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34763431

RESUMO

BACKGROUND: Severe acute pancreatitis (SAP) is a common but severe disease with high mortality. Organ injury is the primary risk factor for death in SAP patients. The purpose of this study was to explore the predictive value of the ratio of venoarterial PCO2 to arteriovenous O2 content difference [P(cv-a)CO2/C(a-cv)O2] for organ injury in patients with SAP to provide evidence for further clinical intervention. METHODS: We retrospectively collected data from 108 patients with SAP admitted to Huzhou Central Hospital between January 2018 and January 2021. Forty-five patients who experienced organ injury were defined as the organ injury group, and 63 patients without organ injury were defined as the control group. The differences in P(cv-a)CO2/C(a-cv)O2, lactate, hematocrit (HCT), Acute Physiology and Chronic Health Evaluation (APACHE II) scores, and Ranson scores between the two groups were analyzed, and a receiver operating characteristic curve (ROC) was used to analyze the value of P(cv-a)CO2/C(a-cv)O2 in the prediction of organ injury in SAP patients. RESULTS: At admission, the organ injury group demonstrated significantly higher Ranson scores and APACHE II scores than the control group (Ranson scores: 6.09±1.35 vs. 3.97±2.02, respectively, P=0.000; APACHE II scores: 11.64±2.91 vs. 10.08±2.91, respectively, P=0.007). The value of P(cv-a)CO2/C(a-cv)O2 was also elevated compared to the control group (1.47±0.41 vs. 1.09±0.33, respectively, P=0.000) as was the level of lactate (3.33±0.86 vs. 2.56±0.70 mmol/L, respectively, P=0.000). There was no significant difference in HCT between the two groups at admission (44.47%±6.29% vs. 44.53%±5.75%, respectively, P=0.957). The Ranson score, APACHE II score, P(cv-a)CO2/C(a-cv)O2 and lactate levels were all significant predictors of organ injury in patients with SAP. The area under the curve of P(cv-a)CO2/C(a-cv)O2 was 0.733 (0.637-0.829), P=0.000. CONCLUSIONS: P(cv-a)CO2/C(a-cv)O2 is a potential predictor of organ injury in patients with SAP.


Assuntos
Pancreatite , Doença Aguda , Humanos , Prognóstico , Estudos Retrospectivos , Índice de Gravidade de Doença
5.
Front Cell Infect Microbiol ; 11: 564938, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34646783

RESUMO

T-cell reduction is an important characteristic of coronavirus disease 2019 (COVID-19), and its immunopathology is a subject of debate. It may be due to the direct effect of the virus on T-cell exhaustion or indirectly due to T cells redistributing to the lungs. HIV/AIDS naturally served as a T-cell exhaustion disease model for recognizing how the immune system works in the course of COVID-19. In this study, we collected the clinical charts, T-lymphocyte analysis, and chest CT of HIV patients with laboratory-confirmed COVID-19 infection who were admitted to Jin Yin-tan Hospital (Wuhan, China). The median age of the 21 patients was 47 years [interquartile range (IQR) = 40-50 years] and the median CD4 T-cell count was 183 cells/µl (IQR = 96-289 cells/µl). Eleven HIV patients were in the non-AIDS stage and 10 were in the AIDS stage. Nine patients received antiretroviral treatment (ART) and 12 patients did not receive any treatment. Compared to the reported mortality rate (nearly 4%-10%) and severity rate (up to 20%-40%) among COVID-19 patients in hospital, a benign duration with 0% severity and mortality rates was shown by 21 HIV/AIDS patients. The severity rates of COVID-19 were comparable between non-AIDS (median CD4 = 287 cells/µl) and AIDS (median CD4 = 97 cells/µl) patients, despite some of the AIDS patients having baseline lung injury stimulated by HIV: 7 patients (33%) were mild (five in the non-AIDS group and two in the AIDS group) and 14 patients (67%) were moderate (six in the non-AIDS group and eight in the AIDS group). More importantly, we found that a reduction in T-cell number positively correlates with the serum levels of interleukin 6 (IL-6) and C-reactive protein (CRP), which is contrary to the reported findings on the immune response of COVID-19 patients (lower CD4 T-cell counts with higher levels of IL-6 and CRP). In HIV/AIDS, a compromised immune system with lower CD4 T-cell counts might waive the clinical symptoms and inflammatory responses, which suggests lymphocyte redistribution as an immunopathology leading to lymphopenia in COVID-19.


Assuntos
COVID-19 , Infecções por HIV , Adulto , Antirretrovirais , Linfócitos T CD4-Positivos , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Humanos , Contagem de Linfócitos , Pessoa de Meia-Idade , SARS-CoV-2
6.
ACS Appl Mater Interfaces ; 13(42): 50027-50036, 2021 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-34636553

RESUMO

The development of stable, low-cost, and highly efficient electrocatalysts for the N2 reduction reaction (NRR) process is challenging but crucial for ammonia production. Herein, we demonstrate the synthesis of pyrite nanoparticles wrapped by graphene oxide (FeS2@GO) acting as a highly efficient NRR catalyst in a wide pH range. The FeS2 nanoparticles are uniformly dispersed across the GO nanosheet, thus leading to the fine exposure of active sites, the promotion of charge transfer, and the increment of a contact surface area, which are all beneficial for a desired catalyst. In the meantime, the low-coordinated Fe atoms are activated as highly active sites, which is in favor of the enhanced electrochemical performance for the NRR. Furthermore, density functional theory (DFT) calculations illustrated that the high activity of N2 reduction over the FeS2@GO catalyst arises from the well-exposed Fe active sites and the increment of charge density at the valence band edge. Benefiting from the well-optimized interface, the barrier of the addition of the first hydrogen atom to N2 forming *NNH species as the potential-determining step is as low as 0.93 eV in N2 electroreduction. The electrochemical test results reveal that, as expected, FeS2@GO exhibits high Faradaic efficiencies (4.7% in 0.1 M HCl solution and 6.8% in 0.1 M Na2SO4 solution) and advanced NH3 yields (78.6 and 27.9 µg h-1 mgcat.-1 in 0.1 M HCl and 0.1 M Na2SO4 solutions, respectively) in both acid and neutral conditions. This work offers a new avenue for exploring novel electrocatalysts, which has great promise to accelerate the practical application of the NRR.

7.
ChemistryOpen ; 10(10): 1041-1054, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34661983

RESUMO

The nitrogen reduction reaction (NRR) has become an ideal alternative to the Haber-Bosch process, as NRR possesses, among others, the advantage of operating under ambient conditions and saving energy consumption. The key to efficient NRR is to find a suitable electrocatalyst, which helps to break the strong N≡N bond and improves the reaction selectivity. Molybdenum disulfide (MoS2 ) as an emerging layered two-dimensional material has attracted a mass of attention in various fields. In this minireview, we summarize the optimization strategies of MoS2 -based catalysts which have been developed to improve the weak NRR activity of primitive MoS2 . Some theoretical predictions have also been summarized, which can provide direction for optimizing NRR activity of future MoS2 -based materials. Finally, an outlook about the optimization of MoS2 -based catalysts used in electrochemical N2 fixation are given.

8.
Am J Transl Res ; 13(9): 10163-10177, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34650688

RESUMO

FAM107A may have a dual role in regulating the biological functions of tumors; however, its role in prostate adenocarcinoma (PRAD) remains unknown. We analyzed FAM107A expression by employing databases to clarify its potential prognostic value for PRAD, as well as its role in the pathogenesis of PRAD. We observed that the FAM107A expression level is decreased in PRAD, and the reduced expression is considerably associated with poor overall survival and progression-free survival (PFS). To explore the mechanism of FAN107A in PRAD, we performed an immune cell infiltration analysis and a gene set enrichment analysis. The results showed that FAM107A expression is positively related to mast cells and natural killer cells. The Wnt signaling pathway, the MAPK signaling pathway, and the immune responses are differentially enriched in the FAM107A high-expression phenotype. The FAM107A low-expression phenotype is linked to apoptosis-induced DNA fragmentation and DNA methylation in PRAD. To assess the relationship between the clinical features and the FAM107A expression, we performed a logistic regression analysis and observed that a decreased FAM107A expression is associated with poor prognostic features, including the T stage, the N stage, the Gleason score, residual tumors, and the TP53 status. Our multivariate Cox regression results showed that the Gleason score, the primary therapy outcome, and the FAM107A expression are independent prognostic factors in PFS. In summary, we consider FAM107A an independent risk factor for PFS in PRAD. Moreover, several pathways may reveal the role of FAM107A in triggering carcinogenesis. These discoveries provide novel perspectives for future research to elucidate the pathogenic mechanism underlying PRAD.

9.
Ophthalmology ; 2021 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-34619247

RESUMO

PURPOSE: To develop and evaluate the performance of a 3-dimensional (3D) deep-learning-based automated digital gonioscopy system (DGS) in detecting 2 major characteristics in eyes with suspected primary angle-closure glaucoma (PACG): (1) narrow iridocorneal angles (static gonioscopy, Task I) and (2) peripheral anterior synechiae (PAS) (dynamic gonioscopy, Task II) on OCT scans. DESIGN: International, cross-sectional, multicenter study. PARTICIPANTS: A total of 1.112 million images of 8694 volume scans (2294 patients) from 3 centers were included in this study (Task I, training/internal validation/external testing: 4515, 1101, and 2222 volume scans, respectively; Task II, training/internal validation/external testing: 378, 376, and 102 volume scans, respectively). METHODS: For Task I, a narrow angle was defined as an eye in which the posterior pigmented trabecular meshwork was not visible in more than 180° without indentation in the primary position captured in the dark room from the scans. For Task II, PAS was defined as the adhesion of the iris to the trabecular meshwork. The diagnostic performance of the 3D DGS was evaluated in both tasks with gonioscopic records as reference. MAIN OUTCOME MEASURES: The area under the curve (AUC), sensitivity, and specificity of the 3D DGS were calculated. RESULTS: In Task I, 29.4% of patients had a narrow angle. The AUC, sensitivity, and specificity of 3D DGS on the external testing datasets were 0.943 (0.933-0.953), 0.867 (0.838-0.895), and 0.878 (0.859-0.896), respectively. For Task II, 13.8% of patients had PAS. The AUC, sensitivity, and specificity of 3D DGS were 0.902 (0.818-0.985), 0.900 (0.714-1.000), and 0.890 (0.841-0.938), respectively, on the external testing set at quadrant level following normal clinical practice; and 0.885 (0.836-0.933), 0.912 (0.816-1.000), and 0.700 (0.660-0.741), respectively, on the external testing set at clock-hour level. CONCLUSIONS: The 3D DGS is effective in detecting eyes with suspected PACG. It has the potential to be used widely in the primary eye care community for screening of subjects at high risk of developing PACG.

10.
World Neurosurg ; 2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34687931

RESUMO

OBJECTIVE: We sought to investigate the long-term outcome of pulmonary function for arthrogryposis multiplex congenita (AMC) patients undergoing posterior spinal fusion (PSF) and to further determine influential factors. METHODS: Eighteen AMC patients with a minimum of 3-year follow-up after PSF were prospectively collected. All the patients underwent a pulmonary function test before surgery and at the final follow-up. The percentage predicted values of vital capacity (VC%) and forced vital capacity (FVC%) were recorded. The following radiographic parameters were collected including Cobb angle and thoracic kyphosis. The total lung volumes (TLV) were measured on the image of 3-dimensional computed tomography scan by the reconstruction software. RESULTS: There were 10 males and 8 females with a mean age of 13.8 ± 6.1 years. The mean preoperative VC% and FVC% were 40.5% ± 7.6% and 39.5% ± 4.7%, which were significantly increased to 52.0% ± 7.5% and 51.2% ± 6.8% at the final follow-up (P < 0.001). Besides, there was remarkable improvement in terms of TLV (1.57 ± 0.2 L vs. 2.39 ± 0.6 L, P < 0.001). Remarkable correlations were observed between TLV and pulmonary function tests (r = 0.79, P < 0.001 for VC%; r = 0.78, P < 0.001 for FVC%). Multiple regression analysis showed that 2 variables including Δ thoracic kyphosis and Δ Cobb angle were independently associated with the improvement of pulmonary function. CONCLUSIONS: The pulmonary function of AMC patients can be well improved through PSF surgery. It was remarkably associated with the correction of curve magnitude and restoration of thoracic kyphosis.

11.
Front Plant Sci ; 12: 666796, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34489989

RESUMO

Although the main stem node number of soybean [Glycine max (L.) Merr. ] is an important yield-related trait, there have been limited studies on the effect of plant density on the identification of quantitative trait loci (QTL) for main stem node number (MSNN). To address this issue, here, 144 four-way recombinant inbred lines (FW-RILs) derived from Kenfeng 14, Kenfeng 15, Heinong 48, and Kenfeng 19 were used to identify QTL for MSNN with densities of 2.2 × 105 (D1) and 3 × 105 (D2) plants/ha in five environments by linkage and association studies. As a result, the linkage and association studies identified 40 and 28 QTL in D1 and D2, respectively, indicating the difference in QTL in various densities. Among these QTL, five were common in the two densities; 36 were singly identified for response to density; 12 were repeatedly identified by both response to density and phenotype of two densities. Thirty-one were repeatedly detected across various methods, densities, and environments in the linkage and association studies. Among the 24 common QTL in the linkage and association studies, 15 explained a phenotypic variation of more than 10%. Finally, Glyma.06G094400, Glyma.06G147600, Glyma.19G160800.1, and Glyma.19G161100 were predicted to be associated with MSNN. These findings will help to elucidate the genetic basis of MSNN and improve molecular assistant selection in high-yield soybean breeding.

12.
Front Plant Sci ; 12: 682274, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34512683

RESUMO

An increasing number of studies have found differences in the diversity of plant functional traits between urban and rural sites as a result of urbanization. However, the results remain inconsistent. In this study, we measured morphological and nutrient traits of 11 common woody plants along a continuous urban-rural gradient in Beijing, China. Leaf size (e.g., length, width, and area), specific leaf area, and leaf nitrogen and potassium contents decreased gradually and significantly along the urban-rural gradient, indicating that urbanization can enhance the capacity of plants to acquire resources for growth and production. Furthermore, soil nutrients and air temperature decreased along the urban-rural gradient, while air relative humidity increased. A structural equation model showed that these alterations in physical factors attributable to urbanization contributed directly or indirectly to changes in leaf functional traits, implying that changes in soil nutrients and micro-climate induced by urbanization may affect plant growth and production because of the improvement in resource acquisition capacity.

13.
Curr Microbiol ; 78(11): 3936-3944, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34522977

RESUMO

Our study attempted to explore the mechanism underlying the role of LuxR family transcriptional regulator abaR in biofilm formation by Acinetobacter baumannii. The abaR gene was knocked out in ATCC 17978 strain using homologous recombination method. The growth curve and biofilm formation were measured in the wild type and abaR gene knockdown strains. Transcriptome sequencing was performed in the wild type and abaR gene knockdown strains following 8 h of culture. The growth curve in the abaR gene knockdown strain was similar to that of the wild-type strain. Biofilm formation significantly declined in the abaR gene knockdown strain at 8 and 48 h after culture. A total of 137 differentially expressed genes (DEGs) were obtained including 20 downregulated DEGs and 117 upregulated DEGs. Genes with differential expression were closely related to viral procapsid maturation (GO:0046797), acetoin catabolism (GO:0045150), carbon metabolism (ko01200), and the glycolysis/gluconeogenesis (ko00010)-related pathways. The results of the eight verified expression DEGs were consistent with the results predicted by bioinformatics. AbaR gene knockdown significantly affected biofilm formation by A. baumannii ATCC 17978 strain. The glycolysis/gluconeogenesis pathways were significantly dysregulated and induced by abaR gene knockdown in A. baumannii.


Assuntos
Acinetobacter baumannii , Proteínas Repressoras/fisiologia , Transativadores/fisiologia , Acinetobacter baumannii/genética , Biofilmes , Proteínas Repressoras/genética , Transativadores/genética
14.
Artigo em Inglês | MEDLINE | ID: mdl-34583911

RESUMO

Mammalian target of rapamycin (mTOR) inhibitor as an attractive drug target with promising antitumor effects has been widely investigated. High quality clinical trial has been conducted in liver transplant (LT) recipients in Western countries. However, the pertinent studies in Eastern world are paucity. Therefore, we designed a clinical trial to test whether sirolimus can improve recurrence-free survival (RFS) in hepatocellular carcinoma (HCC) patients beyond the Milan criteria after LT. This is an open-labeled, single-arm, prospective, multicenter, and real-world study aiming to evaluate the clinical outcomes of early switch to sirolimus-based regimens in HCC patients after LT. Patients with a histologically proven HCC and beyond the Milan criteria will be enrolled. The initial immunosuppressant regimens are center-specific for the first 4-6 weeks. The following regimens integrated sirolimus into the regimens as a combination therapy with reduced calcineurin inhibitors based on the condition of patients and centers. The study is planned for 4 years in total with a 2-year enrollment period and a 2-year follow-up. We predict that sirolimus conversion regimen will provide survival benefits for patients particular in the key indicator RFS as well as better quality of life. If the trial is conducted successfully, we will have a continued monitoring over a longer follow-up time to estimate indicator of overall survival. We hope that the outcome will provide better evidence for clinical decision-making and revising treatment guidelines based on Chinese population data. Trial register: Trial registered at http://www.chictr.org.cn: ChiCTR2100042869.

15.
Anal Chem ; 93(40): 13680-13686, 2021 10 12.
Artigo em Inglês | MEDLINE | ID: mdl-34585582

RESUMO

Integrating a microfluidic sensor with a ratiometric photoelectrochemical (PEC) strategy to build a bioanalysis device for actual sample testing is often limited to large-volume space-resolution equipment and wavelength-dependent or potential-dependent paired photoactive materials. This work reports a microfluidic ratiometric magnetic-photoelectrochemical (M-PEC) biosensor on the photochromic composite platform to solve the above problems. In particular, as a proof-of-concept study, the platform Bi2WO6-x/amorphous BiOCl nanosheets/Bi2S3 (p-BWO-s) mediated by photochromic color centers and the magnetic photoactive secondary antibody marker ZnFe2O4@Ag2O are integrated on the microfluidic biosensor. By enhancement of the photochromic color centers, p-BWO-s outputs a considerable photocurrent signal. Meanwhile, the photoactivity of the secondary antibody marker can be changed with a magnetic field; thus, different photocurrent signals can be obtained to realize ratiometric detection. The quenching photocurrent signal without the magnetic field and the difference photocurrent signal under the magnetic field are quantitatively related to the target concentration, which unfolds a novel general strategy for bioanalysis. Different from traditional ratiometric PEC biosensors, this work characterizes the first ratiometric PEC biosensor based on an external magnetic field. Generally speaking, combined with different biorecognition cases, this scheme with good expansibility brings a unique new perspective.


Assuntos
Técnicas Biossensoriais , Técnicas Eletroquímicas , Limite de Detecção , Campos Magnéticos , Fenômenos Magnéticos , Microfluídica
16.
Rev. bras. med. esporte ; 27(3): 303-306, July-Sept. 2021. tab
Artigo em Inglês | LILACS | ID: biblio-1288585

RESUMO

ABSTRACT Introduction According to the 2015 National Physical Health Monitoring Report, most of the national physical health indicators have begun to rebound, but some people's physical health is still declining. Object The thesis studies the problems existing in people's physical exercise and guides the development of these people's habits. Methods Our mathematical statistics and other research methods investigate the current situation of people's physical exercise habits, and explore the factors that restrict habits from the factors that affect the formation of sports and fitness concepts. Result The proportion of people developing physical exercise habits is low. People invest less time and energy in physical exercise. Conclusion The less time and energy that people invest in physical exercise is the main reason that affects their belief in exercise and fitness and physical exercise habits. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Introdução De acordo com o Relatório Nacional de Monitoramento de Saúde Física de 2015, a maioria dos indicadores nacionais de saúde física começou a se recuperar, mas a saúde física de algumas pessoas ainda está em declínio. Objetivo a tese estuda os problemas existentes no exercício físico das pessoas e orienta o desenvolvimento dos hábitos dessas pessoas. Métodos Nossas estatísticas matemáticas e outros métodos de pesquisa investigam a situação atual dos hábitos de exercício físico das pessoas e exploram os fatores que restringem os hábitos e os fatores que afetam a formação de conceitos de esportes e preparação física. Resultado a proporção de pessoas que desenvolvem hábitos de exercícios físicos é baixa. As pessoas investem menos tempo e energia em exercícios físicos. Conclusão O pouco tempo e energia que as pessoas investem na prática de exercícios físicos é o principal motivo que afeta sua crença na prática de exercícios e hábitos de exercício físico. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.


RESUMEN Introducción De acuerdo con el Informe Nacional de Monitoreo de la Salud Física de 2015, la mayoría de los indicadores nacionales de salud física han comenzado a recuperarse, pero la salud física de algunas personas todavía está en declive. Objetivo la tesis estudia los problemas existentes en el ejercicio físico de las personas y orienta el desarrollo de los hábitos de estas personas. Métodos Nuestras estadísticas matemáticas y otros métodos de investigación investigan la situación actual de los hábitos de ejercicio físico de las personas y exploran los factores que restringen los hábitos y los factores que afectan la formación de conceptos deportivos y la preparación física. Resultado la proporción de personas que desarrollan hábitos de ejercicio físico es baja. La gente invierte menos tiempo y energía en el ejercicio físico. Conclusión El poco tiempo y energía que las personas invierten en la práctica de ejercicio físico es el principal motivo que incide en su creencia en la práctica de ejercicio y hábitos de ejercicio físico. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Exercício Físico/fisiologia , Estilo de Vida Saudável , Fatores de Tempo , Modelos Estatísticos , Hábitos
17.
Clin Neurol Neurosurg ; 209: 106905, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34507128

RESUMO

OBJECTIVES: To compare the differences in sagittal spinopelvic parameters between patients receiving monosegmental or multisegmental lumbar fusion and to assess the impact of fusion length on sitting balance. METHODS: The current study recruited 41 patients who had undergone lumbar fusion, consisting of 18 in the monosegmental group and 23 in the multisegmental group. And the control group included 50 lumbar degenerative patients who had no previous spinal fusion surgery. Spinopelvic parameters of patients were assessed: sagittal vertical axis, pelvic tilt, sacral slope, pelvic incidence, thoracic kyphosis, lumbar lordosis, and proximal femur angles. RESULTS: We observed significant differences in sitting TK (P = 0.031), LL (P = 0.012), PT (P = 0.009) and SVA (P = 0.009) among the three groups. When transitioning from standing to sitting, the multisegmental group had the least change in SVA (P = 0.016), PT (P = 0.043), and LL (P = 0.009), with a compensatory increase in TK (P = 0.021). Moderate to strong correlations were found between the change in the LL and those in the SVA (r = -0.548, P = 0.001), PT (r = -0.600, P = 0.001), and SS (r = 0.623, P = 0.001). CONCLUSION: Multisegmental lumbar fusion significantly limits the lumbar mobility and affects the ability to compensate postural changes. Reducing the fusion segments as much as possible is of particular value in preserving lumbar mobility and maintaining the compensatory mechanism of spinopelvis.

18.
Peptides ; 146: 170661, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34571056

RESUMO

BACKGROUND: We sought to evaluate alterations in markers of the autonomic nervous system in human diabetic choroid. METHODS: Eighteen eyeballs from subjects with diabetes and 22 eyeballs from subjects without diabetes were evaluated in this study. Synaptophysin, tyrosine hydroxylase (TH), dopamine beta-hydroxylase (DßH), neuronal nitric oxide synthase (nNOS), choline acetyltransferase (ChAT), vesicular monoamine transporter II (VMAT-2), vesicular acetylcholine transporter (VAChT), vasoactive intestinal peptide (VIP), neuropeptide Y (NPY), and calcitonin gene-related peptide (CGRP) levels were detected by western blot analysis and immunofluorescence was performed in some cases. Furthermore, differences in adrenergic (α1- and ß2-subtypes) and cholinergic (M1 and M3) receptor levels between diabetic subjects and controls were noted. RESULTS: Decreased synaptophysin levels were found in diabetic choroids by western blot analysis and a reduction of synaptophysin-immunoreactive nerves was also found by immunofluorescence. Furthermore, a decrease of the levels of the key enzyme (TH) and transporter (VMAT2) of norepinephrine was evident both by western blot analysis and immunofluorescence. Additionally, increased NPY, VAChT, nNOS, and CGRP levels were observed in diabetic choroids. The levels of adrenergic (ß2 subtype) and acetylcholine (M1 subtype) receptors decreased in diabetic choroids, as shown by western blotting and although the differences in α1 and M3 were not significant, there was a downward trend. CONCLUSIONS: In the diabetic choroid, the levels of neurotransmitters, enzymes, and receptors associated with choroidal blood flow regulation are altered. These changes may affect the regulation of choroidal blood flow and may be associated with impaired retinal function and retinal pathology.

19.
Neural Netw ; 144: 154-163, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34500254

RESUMO

Previous studies demonstrate DNNs' vulnerability to adversarial examples and adversarial training can establish a defense to adversarial examples. In addition, recent studies show that deep neural networks also exhibit vulnerability to parameter corruptions. The vulnerability of model parameters is of crucial value to the study of model robustness and generalization. In this work, we introduce the concept of parameter corruption and propose to leverage the loss change indicators for measuring the flatness of the loss basin and the parameter robustness of neural network parameters. On such basis, we analyze parameter corruptions and propose the multi-step adversarial corruption algorithm. To enhance neural networks, we propose the adversarial parameter defense algorithm that minimizes the average risk of multiple adversarial parameter corruptions. Experimental results show that the proposed algorithm can improve both the parameter robustness and accuracy of neural networks.


Assuntos
Algoritmos , Redes Neurais de Computação
20.
J Inflamm Res ; 14: 3879-3890, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34408469

RESUMO

Background: Inflammatory response is related to cancer progression and patient survival. However, the value in predicting survival in hepatocellular carcinoma (HCC) patients who received anti-PD-1 therapy has not been elucidated. This study aimed to compare the predictive ability of inflammation-based scores for the prognosis of HCC patients after anti-PD-1 therapy. Methods: A total of 442 patients who received anti-PD-1 therapy were included in the study. Representative inflammation-based prognostic scores, including the platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-C-reactive protein (CRP) ratio (LCR), lymphocyte-to-monocyte ratio (LMR), systemic immune inflammation index (SII), CRP-to-albumin ratio (CAR), prognostic nutritional index (PNI), Glasgow Prognostic Score (GPS), modified Glasgow Prognostic Score (mGPS), and prognostic index (PI), were assessed for prediction accuracy using Kaplan-Meier survival curves, time-dependent receiver operating characteristic (ROC) and Harrell's concordance index (C-index) analyses. Results: All the inflammation-based prognostic scores exhibited good discriminatory ability in overall survival (OS) (all P < 0.01), while the PNI score was a unique independent predictor for OS in multivariate analysis (hazard ratio, 1.770; confidence interval, 1.309-2.393; P < 0.001). The areas under the ROC curves at 6, 12, 18 and 24 months and the C-index (0.65) demonstrated that the predictive accuracy of the PNI score was superior to that of the other inflammation-based scores. Conclusion: The PNI score is a discriminatory prognostic indicator for OS in HCC patients with anti-PD-1 therapy and is superior to the other inflammation-based prognostic scores in terms of predictive ability.

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