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1.
Mod Rheumatol ; 2023 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-36688590

RESUMO

OBJECTIVES: To investigate whether pSS patients with hyperglobulinemia have an increased risk of all-cause mortality. METHODS: Patients who registered in Chinese Rheumatism Data Centre from May 2016 to July 2021, and met the 2002 AECG criteria or 2016 ACR/EULAR classification criteria for SS were included. Hyperglobulinemia was defined as any elevated serum levels of IgG, IgA, or IgM. The primary outcome was all-cause death. Data for demographic and clinical characteristics, laboratory results, disease activity, damage scores, treatments were evaluated. RESULTS: A total of 9,527 pSS patients were included in the analysis, of whom 4,236 (44.5%) had at least one kind of elevated immunoglobulin level among IgG, IgA, and IgM. Patients with hyperglobulinemia had a significantly increased risk of death (crude HR 2.60; 95%CI 1.91-3.55; adjusted HR 1.90; 95%CI 1.20-3.01). Risk of death was positively correlated with IgG level (P trend <0.001). The 5-, 10-, and 15-year survival rates of patients with hyperglobulinemia were 96.9%, 92.3%, and 87.9%, respectively, and significantly lower than the corresponding rates of 98.8%, 97.9%, and 96.4% in patients without hyperglobulinemia. CONCLUSIONS: Hyperglobulinemia is an independent risk factor for increased all-cause mortality in pSS patients. Risk of death is positively correlated with IgG level.

2.
Orthop Surg ; 2023 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-36647280

RESUMO

OBJECTIVE: At present, it is still uncertain whether single screw has the same stability as double screws in the treatment of ulnar coronal process basal fracture (Regan-Morry type III). So, we aimed to compare the pull-out force and anti-rotation torque of anterior single/double screw-cancellous bone fixation (aSSBF, aDSBF) in this fracture, and further study the influencing factors on anatomical and biomechanical stability of smart screw internal fixations. METHODS: A total of 63 adult volunteers with no history of elbow injury underwent elbow CT scanning with associated three-dimensional reconstruction that enabled the measurements of bone density and fixed length of the proximal ulna and coronoid. The models of coronal process basal fracture, aSSBF and aDSBF, were developed and validated. Using the finite element model test, the sensitivity analysis of pull-out force and rotational torque was carried out. RESULTS: The pull-out force of aSSBF model was positively correlated with the density of the cancellous bone and linearly related to the fixed depth of the screw. The load pattern of pull-out force of aDSBF model was similar to that of aSSBF model. The ultimate torque of aDSBF model was higher than that of aSSBF model, but the load pattern of ultimate torque of both models was similar to each other when the fracture reset was satisfactory, and the screw nut attaches closely to coronoid process. Moreover, with enhancement of initial pre-tightening force, the increase of ultimate torque of both models was small. CONCLUSIONS: In addition to three pull-out stability factors of smart screw fixations, fracture surface fitting degree and nut fitting degree are the other two important anatomical and biomechanical stability factors of smart screw fixations both for rotational stability. When all pull-out stability and rotational stability factors meet reasonable conditions simultaneously, single or double screw fixation methods are stable for the treatments of ulnar coronoid basal fractures.

3.
Brief Bioinform ; 24(1)2023 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-36573491

RESUMO

Precisely predicting the drug-drug interaction (DDI) is an important application and host research topic in drug discovery, especially for avoiding the adverse effect when using drug combination treatment for patients. Nowadays, machine learning and deep learning methods have achieved great success in DDI prediction. However, we notice that most of the works ignore the importance of the relation type when building the DDI prediction models. In this work, we propose a novel R$^2$-DDI framework, which introduces a relation-aware feature refinement module for drug representation learning. The relation feature is integrated into drug representation and refined in the framework. With the refinement features, we also incorporate the consistency training method to regularize the multi-branch predictions for better generalization. Through extensive experiments and studies, we demonstrate our R$^2$-DDI approach can significantly improve the DDI prediction performance over multiple real-world datasets and settings, and our method shows better generalization ability with the help of the feature refinement design.


Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Humanos , Interações Medicamentosas , Aprendizado de Máquina , Descoberta de Drogas
4.
PLoS One ; 17(12): e0276920, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36534655

RESUMO

BACKGROUND: Due to interactions with variety of environmental and physicochemical factors, the composition and diversity of bacteria and fungi in manure ectopic fermentation are constantly changing. The purpose of this study was to investigated bacterial and fungal changes in dairy manure ectopic fermentation, as well as the relationships between keystone species and physicochemical characteristics. METHODS: Ectopic fermentation was carried out for 93 days using mattress materials, which was combined with rice husk and rice chaff (6:4, v/v), and dairy waste mixed with manure and sewage. Physicochemical characteristics (moisture content, pH, NH4+-N (NN), total organic carbon (TO), total nitrogen (TN) and the C/N ratio) of ectopic fermentation samples were measured, as well as enzymatic activity (cellulose, urease, dehydrogenase and alkaline phosphatase). Furthermore, the bacterial and fungal communities were studied using 16S rRNA and 18S rRNA gene sequencing, as well as network properties and keystone species were analyzed. RESULTS: During the ectopic fermentation, the main pathogenic bacteria reduced while fecal coliform increased. The C/N ratio gradually decreased, whereas cellulase and dehydrogenase remained at lower levels beyond day 65, indicating fermentation maturity and stability. During fermentation, the dominant phyla were Chloroflexi, Firmicutes, Proteobacteria, Bacteroidetes, and Actinobacteria of bacteria, and Ascomycota of fungi, while bacterial and fungal community diversity changed dramatically and inversely. The association between physicochemical characteristics and community keystone taxon was examined, and C/N ratio was negative associated to keystone genus. CONCLUSION: These data indicated that microbial composition and diversity interacted with fermentation environment and parameters, while regulation of keystone species management of physicochemical factors might lead to improved maturation rate and quality during dairy manure ectopic fermentation. These findings provide a reference to enhance the quality and efficiency of waste management on dairy farm.


Assuntos
Micobioma , Esterco/microbiologia , Fermentação , RNA Ribossômico 16S/genética , Bactérias/genética , Oxirredutases , Solo
5.
J Environ Manage ; 329: 117058, 2022 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-36528944

RESUMO

Aquatic sediment polluted by potentially toxic elements (PTEs) from mining activities represents a potential health "time bomb" for humans and the local ecology, but the integrated analysis of pollution and hazards of PTEs in sediment around typical metal mines in China is limited. Presently, the associated pollution status, spatial distribution, and ecological and health hazards of Cd, Cu, Zn, Pb, Cr, and As were investigated through index evaluation, spatial analysis, health risk assessment models, and Monte Carlo simulation. Overall, the sediment exhibited varying degrees of PTE contamination; notably, the level of Cd was 104.85 times higher than its background value, and it became the most enriched element in the surveyed sediment, followed in descending order by Cu, As, Zn, Pb, and Cr. Nationally, over 64.5% of metal-mining-affected sediment presented a very high ecological risk, contributed mostly by Cd (43.2%-98.7%) followed by As, Pb, and Cu; the risk contributed by both Cr and Zn was found to be negligible. The adverse health risk posed to children by most sediment was 1.72 and 6.46 times higher than that posed to adults for cancerous and noncancerous risks, respectively. The potential noncarcinogenic risks were mainly caused by As, which contributed over 78.9% of the Hazard Index values, then followed by Pb (>9.3%). For both children and adults, the carcinogenic risk of PTEs decreased in the following order: As > Cd > Cr > Pb. The investigated sediment was found seriously affected by nearby metal mines, especially those in regions with long-term and large-scale nonferrous-metal-mining activities. This study could provide a reference for policymakers to develop control strategies for PTE pollution in sediment around mining areas.

6.
Angew Chem Int Ed Engl ; : e202216898, 2022 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-36539374

RESUMO

Physical properties of materials are mainly determined by valence electron configurations, where different valence shells would induce divergent phenomena. In compounds containing Sc2+ , 3d electron occupancy is expected, the same as other transition metal atoms like Ti3+ . But this situation still awaits experimental verification in inorganic materials. Here, we selected ScS to measure the valence electron density and orbital population of Sc2+ through delicate quantitative convergent-beam electron diffraction. With the absence of 3d orbital features around Sc-atom sites and the nearly bare population of t2g orbital, the unintuitive occupation of 4s orbital in Sc2+ is concluded. It should be the first time to report such a special electron configuration in a transition metal compound, in which 4s rather than 3d orbital is preferred. Our findings reveal the distinct behavior of Sc and probable ways to modulate material properties by controlling electron orbitals.

7.
Chin Med J (Engl) ; 135(18): 2191-2199, 2022 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-36525605

RESUMO

BACKGROUND: The onset and clinical presentation of systemic lupus erythematosus (SLE) are sex-related. Few studies have investigated the distinctions in clinical characteristics and treatment preferences in male and female SLE patients in the initial cohort. This study aimed to improve the understanding of Chinese SLE patients by characterizing the different sexes of SLE patients in the inception cohort. METHODS: Based on the initial patient cohort established by the Chinese SLE Treatment and Research Group, a total of 8713 patients (795 men and 7918 women) with newly diagnosed SLE were enrolled between April 2009 and March 2021. Of these, 2900 patients (347 men and 2553 women) were eligible for lupus nephritis (LN). A cross-sectional analysis of the baseline demographic characteristics, clinical manifestations, laboratory parameters, organ damage, initial treatment regimens, and renal pathology classification was performed according to sex. RESULTS: In the SLE group, as compared to female patients, male patients had a later age of onset (male vs. female: 37.0 ±â€Š15.8 years vs. 35.1 ±â€Š13.7 years, P  = 0.006) and a higher SLE International Collaborative Clinic/American College of Rheumatology damage index score (male vs. female: 0.47 ±â€Š1.13 vs. 0.34 ±â€Š0.81, P  = 0.015), LN (male vs. female: 43.6% vs. 32.2%, P < 0.001), fever (male vs. female: 18.0% vs. 14.6%, P  = 0.010), thrombocytopenia (male vs. female: 21.4% vs. 18.5%, P  = 0.050), serositis (male vs. female: 14.7% vs. 11.7%, P  = 0.013), renal damage (male vs. female: 11.1% vs. 7.4%, P < 0.001), and treatment with cyclophosphamide (CYC) (P < 0.001). The frequency of leukopenia (male vs. female: 20.5% vs. 25.4%, P  = 0.002) and arthritis (male vs. female: 22.0% vs. 29.9%, P < 0.001) was less in male patients with SLE. In LN, no differences were observed in disease duration, SLE Disease Activity Index score, renal biopsy pathological typing, or 24-h urine protein quantification among the sexes. In comparisons with female patients with LN, male patients had later onset ages (P  = 0.026), high serum creatinine (P < 0.001), higher end-stage renal failure rates (P  = 0.002), musculoskeletal damage (P  = 0.023), cardiovascular impairment (P  = 0.009), and CYC use (P  = 0.001); while leukopenia (P  = 0.017), arthritis (P  = 0.014), and mycophenolate usage (P  = 0.013) rates were lower. CONCLUSIONS: Male SLE patients had more severe organ damage and a higher LN incidence compared with female SLE patients; therefore, they may require more aggressive initial treatment compared to female patients.


Assuntos
Artrite , Leucopenia , Lúpus Eritematoso Sistêmico , Nefrite Lúpica , Trombocitopenia , Humanos , Feminino , Masculino , Estudos Transversais , Caracteres Sexuais , Índice de Gravidade de Doença , Lúpus Eritematoso Sistêmico/diagnóstico , Nefrite Lúpica/tratamento farmacológico , Nefrite Lúpica/patologia , Sistema de Registros , Ciclofosfamida/uso terapêutico , Leucopenia/tratamento farmacológico
8.
Nutr Diabetes ; 12(1): 49, 2022 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-36494332

RESUMO

INTRODUCTION: Oxidative stress is linked to the development of gestational diabetes mellitus (GDM). Maternal antioxidant vitamins in early pregnancy may play a role in GDM occurrence. We aimed to investigate the associations of vitamins A and E in early pregnancy with the risk of GDM and to explore whether these antioxidant vitamins can be biomarkers for the early prediction of GDM. METHODS: We carried out a prospective cohort study conducted in Beijing and enrolled pregnant women (n = 667) with vitamins A and E measurements at 9 weeks (IQR 8-10) of gestation and having one-step GDM screened with a 75-g oral glucose tolerance test between 24 and 28 weeks of gestation. RESULTS: The vitamin A levels in early pregnancy were significantly higher in women with GDM than in those without GDM (p < 0.0001) and positively correlated with fasting blood glucose. In multivariate models, vitamin A levels were significantly associated with GDM (OR, 1.46; 95% CI: 1.14-1.88; p = 0.0032) per SD. A significant trend of risk effect on GDM risk across quartiles of vitamin A was observed (ptrend = 0.016). No significant association of serum vitamin E with GDM was observed overall. However, a noted trend of protective effect on GDM risk across quartiles of vitamin E/cholesterol ratio was observed (ptrend = 0.043). In ROC analysis, the multivariate model consisting of vitamin A and other risk factors showed the best predictive performance (AUC: 0.760; 95% CI: 0.705-0.815; p < 0.001). CONCLUSIONS: Higher levels of vitamin A in early pregnancy were significantly associated with an increased risk of GDM. Vitamin A has the potential to be a biomarker indicating pathogenesis of GDM.


Assuntos
Diabetes Gestacional , Feminino , Gravidez , Humanos , Estudos Prospectivos , Antioxidantes , Vitamina A , Glicemia/análise , Vitaminas , Biomarcadores , Vitamina E
9.
Nanotoxicology ; : 1-19, 2022 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-36403163

RESUMO

Ambient PM2.5 is one of the environmental risk factors and was correlated with senescence-related diseases based on the epidemiologic investigation. However, little is known about senescence induced by PM2.5 as well as the underlying mechanisms. In this study, we demonstrated that PM2.5 exposure aggravated cellular senescence in vivo and in vitro, and disrupted micronuclei (MN) played a vital role in this process. Our results suggested that the nuclear envelope (NE) of PM2.5-induced MN was ruptured. Subsequently, cGAS was found to localize to approximately 80% of the disrupted MN but few for intact MN. Upon examination of cGAMP and SA-ß-Gal, the cGAS-STING pathway was found activated and related to cellular senescence induced by PM2.5. Taken together, we reported a novel finding that PM2.5 exposure causes cellular senescence via DNA damage, MN formation, and cGAS activation. These results revealed the potential toxicity of PM2.5 and its related mechanisms in cellular senescence.

10.
Braz J Microbiol ; 2022 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-36370337

RESUMO

The exploration of polysaccharides from microorganisms is of great importance. In this study, a new type of exopolysaccharide excreted by Fusarium merismoides A6 (FM-EPS) was isolated, and the extraction conditions were optimized using a response surface methodology (RSM). The extraction temperature at 0 °C, a precipitation time of 7.83 h, and an ethanol precipitation concentration of 77.64% were predicted and proved to be the best extraction conditions with the maximum extraction yield of 0.74 g/mL. Then, two fractions of F. merismoides A6 exopolysaccharides (FM-EPS1 and FM-EPS2) were obtained through DEAE Sepharose fast flow column chromatography. As indicated by monosaccharide composition analysis, both fractions mainly consisted of mannose, glucose, galactose, and ribose, with an average molecular weight of 5.14 × 104 and 6.50 × 104 g/mol, respectively. FT-IR and NMR spectroscopy indicated the FM-EPSs had both α- and ß-glycosidic bonds. Moreover, the determination of antioxidant and antiproliferative activities in vitro proved that FM-EPSs had good antioxidant activities and antiproliferation activities. FM-EPS1 showed stronger antioxidant activities than FM-EPS2. FM-EPS2 showed antiproliferation activities on HeLa and HepG2 cells, while FM-EPS1 had no obvious antiproliferative activity. Therefore, FM-EPSs could be explored as potential antioxidant and anticancer agent applied in food, feed, nutraceutical, pharmaceutical, cosmetics, and chemical industries.

11.
Pharmaceutics ; 14(11)2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-36432651

RESUMO

MLN4924 is a selective neddylation inhibitor that has shown great potential in treating several cancer and metabolic diseases, including obesity. However, it remains largely unknown whether MLN4924 has similar effect on non-alcoholic liver disease (NAFLD), which is closely associated with metabolic disorders. Here, we investigated the role of MLN4924 in NAFLD treatment and the underlying mechanism of the action using primary hepatocytes stimulated with free fatty acid, as well as high-fat diet (HFD)-induced NAFLD mouse models. We found that MLN4924 can inhibit the accumulation of lipid and reduce the expression of peroxisome proliferator-activated receptor γ (PPARγ), a key player in adipocyte differentiation and function in both in vivo and in vitro models. Moreover, we verified its important role in decreasing the synthesis and accumulation of fat in the liver, thus mitigating the development of NAFLD in the mouse model. The body weight and fat mass in MLN4924-treated animals were significantly reduced compared to the control group, while the metabolic activity, including O2 consumption, CO2 and heat production, also increased in these animals. Importantly, we demonstrated for the first time that MLN4924 can markedly boost mitochondrial fat acid oxidation (FAO) to alter liver lipid metabolism. Finally, we compared the metabolites between MLN4924-treated and untreated Huh7 cells after fatty acid induction using lipidomics methods and techniques. We found induction of several metabolites in the treated cells, including Beta-guanidinopropionic acid (b-GPA) and Fluphenazine, which was in accordance with the increase of FAO and metabolism. Together, our study provided a link between neddylation modification and energy metabolism, as well as evidence for targeting neddylation as an emerging therapeutic approach to tackle NAFLD.

13.
Environ Pollut ; 315: 120398, 2022 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-36228845

RESUMO

The Arctic is a sink for major pollutants in the Northern Hemisphere, and is an ideal place to investigate the migration of concerned metals on the local environment. In this study, 13 elements including Li, Ti, V, Cr, Mn, Fe, Co, Cu, Zn, As, Cd, Hg, and Pb were determined in mosses (Dicranum angustum) from London Island in Ny-Ålesund. The results showed that the concentrations of different elements varied greatly at different altitudes, while their distributions in low (0-200 m) and high (200-300 m) altitudes based on cluster analysis were significantly different. Among them, Li, Ti, V, Cr, Mn, Fe, Co, Cu, and As showed significant positive correlations with elevation. This result may be due to the influence of key environmental factors such as elements transported by the airborne dust carried by winds, and surface runoff from snow meltwater. Multiple receptor models (PCA, PMF, and UNMIX) were employed to discuss the sources of metals in mosses from London Island. Elements that showed positive correlation with altitude were attributed to natural sources, and Zn, Cd, Hg, and Pb, which lacked apparent correlation with elevation, were interpreted as from anthropogenic sources by the models. Among them, Zn, Cd, and Hg were from long-range deposition, while Pb was from mixed industrial sources.


Assuntos
Briófitas , Mercúrio , Metais Pesados , Monitoramento Ambiental/métodos , Londres , Svalbard , Cádmio/análise , Chumbo/análise , Metais Pesados/análise , Mercúrio/análise , China
14.
Cell Death Dis ; 13(10): 851, 2022 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-36202782

RESUMO

Protein disulfide isomerase (PDI) is an endoplasmic reticulum (ER) enzyme that mediates the formation of disulfide bonds, and is also a therapeutic target for cancer treatment. Our previous studies found that PDI mediates apoptotic signaling by inducing mitochondrial dysfunction. Considering that mitochondrial dysfunction is a major contributor to autophagy, how PDI regulates autophagy remains unclear. Here, we provide evidence that high expression of PDI in colorectal cancer tumors significantly increases the risk of metastasis and poor prognosis of cancer patients. PDI inhibits radio/chemo-induced cell death by regulating autophagy signaling. Mechanistically, the combination of PDI and GRP78 was enhanced after ER stress, which inhibits the degradation of AKT by GRP78, and eventually activates the mTOR pathway to inhibit autophagy initiation. In parallel, PDI can directly interact with the mitophagy receptor PHB2 in mitochondrial, then competitively blocks the binding of LC3II and PHB2 and inhibits the mitophagy signaling. Collectively, our results identify that PDI can reduce radio/chemo-sensitivity by regulating autophagy, which could be served as a potential target for radio/chemo-therapy.


Assuntos
Proteínas Associadas aos Microtúbulos/metabolismo , Proibitinas/metabolismo , Isomerases de Dissulfetos de Proteínas , Proteínas Proto-Oncogênicas c-akt , Autofagia , Dissulfetos/química , Humanos , Isomerases de Dissulfetos de Proteínas/genética , Serina-Treonina Quinases TOR
15.
Front Med (Lausanne) ; 9: 984183, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36203761

RESUMO

Background: Systemic lupus erythematosus (SLE) can significantly influence patients' quality of life and subjective well-being (SWB), but the relationships between clinical characteristics, SWB, and related psychological factors have been little studied. Objective: To measure SWB in patients with SLE and examine how major clinical determinants, emotional variables, and related positive factors affect SWB. Methods: Overall, 1,110 patients with SLE from the Chinese SLE Treatment and Research Group (CSTAR) and 198 age and gender-matched individuals from the general population without self-reported SLE were invited to complete questionnaires of SWB evaluated by the satisfaction with life scale (SWLS), emotional variables assessed by the patient health questionnaire-9 (PHQ-9), and general anxiety disorder-7 (GAD-7) and related positive factors assessed by the self-esteem scale (SES), general self-efficacy scale (GESE), and Connor-Davidson resilience scale (CD-RISC). The multivariate linear regression was used to examine the relationship between clinical manifestations and SWB. Results: Life satisfaction was significantly lower (p < 0.001) in patients with SLE than in the general population. Active skin involvement (OR = 0.923, 95% CI = 0.868-0.981, p < 0.05) was negatively associated with life satisfaction scores, and age at enrollment (OR = 1.160, 95% CI = 1.092-1.230, p < 0.001) were positively associated with life satisfaction scores in the multivariate regression model. The cumulative organ damage was significantly associated with depression (OR = 1.085, 95% CI = 1.022-1.153, p < 0.01) and the loss of self-esteem (OR = 1.067, 95% CI = 1.004-1.133, p < 0.05). Conclusion: SWB provides useful insight into the impact of SLE on psychological health and opportunities to improve quality of life and clinical care.

16.
Bioinformatics ; 38(22): 5100-5107, 2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-36205562

RESUMO

MOTIVATION: The interaction between drugs and targets (DTI) in human body plays a crucial role in biomedical science and applications. As millions of papers come out every year in the biomedical domain, automatically discovering DTI knowledge from biomedical literature, which are usually triplets about drugs, targets and their interaction, becomes an urgent demand in the industry. Existing methods of discovering biological knowledge are mainly extractive approaches that often require detailed annotations (e.g. all mentions of biological entities, relations between every two entity mentions, etc.). However, it is difficult and costly to obtain sufficient annotations due to the requirement of expert knowledge from biomedical domains. RESULTS: To overcome these difficulties, we explore an end-to-end solution for this task by using generative approaches. We regard the DTI triplets as a sequence and use a Transformer-based model to directly generate them without using the detailed annotations of entities and relations. Further, we propose a semi-supervised method, which leverages the aforementioned end-to-end model to filter unlabeled literature and label them. Experimental results show that our method significantly outperforms extractive baselines on DTI discovery. We also create a dataset, KD-DTI, to advance this task and release it to the community. AVAILABILITY AND IMPLEMENTATION: Our code and data are available at https://github.com/bert-nmt/BERT-DTI. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.


Assuntos
Publicações , Software , Humanos , Interações Medicamentosas
17.
Vaccines (Basel) ; 10(10)2022 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-36298469

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has imposed enormous morbidity and mortality burdens. Patients with rheumatic diseases (RDs) are vulnerable to the COVID-19 infection, given their immunocompromised status. Ensuring acceptance of the COVID-19 vaccine is important and has attracted attention by health professionals. In this study, we designed an online cross-sectional survey that used an online questionnaire from 8 May 2021 to 4 October 2021. Attitudes toward the COVID-19 vaccination, personal information, current disease activity status, adverse events (AEs), and knowledge sources of vaccines were collected. Descriptive statistics, nonparametric tests, and ordinal logistic regression were used to analyze the data. A total of 1022 questionnaires were received, among which 70.2% (720/1022) of patients with RDs agreed to vaccination, while only 31.6% of patients were actually vaccinated. Male, employed, high-income patients and those with inactive disease showed a more positive attitude. Concerns of AEs and disease flare were the main factors affecting vaccination willingness. Only 29.6% (304/1022) of patients thought they had received enough information about the COVID-19 vaccine from their doctors. In conclusion, most patients with RDs in China intended to get vaccinated, although the vaccination rate in this particular population was low. Rheumatologists should take more responsibility in COVID-19 vaccination education of patients with RDs.

18.
Artigo em Inglês | MEDLINE | ID: mdl-36231503

RESUMO

To better protect lacustrine ecologies and understand the evolutionary process of lake environments, it is critical to study the interacting mechanisms between lakes and the surrounding groundwater. The Wuliangsu Lake watershed is the largest wetland in the Yellow River basin and is the discharge area of the Hetao Irrigation District (HID), which is one of the three largest agricultural production areas in China. Due to the influence of human activities, the discharge water from the HID has led to the deterioration of the Wuliangsu Lake ecology and the degradation of the lake environment. Based on long-term observation data and water sampling data collected in 2021, a water-salt equilibrium model was used to analyze the recharge rate of groundwater to the lake. The contribution rate of groundwater to lake recharge in the study area was calculated with a Bayesian mixing model by combining D and 18O stable isotope data. Furthermore, the environmental evolutionary process of the lake was also analyzed using the collected water quality data. The results show that channel drainage was the main source of recharge to Wuliangsu Lake, accounting for more than 75%, while groundwater contributed less than 5% of lake recharge. After implementing the ecological water supplement plan, the concentration of various ions in the lake decreased, the concentration of the total dissolved solids (TDS) in the lake decreased from 1.7 g/L in 2016 to 1.28 g/L in 2021, and the ecological environment was improved. The contribution of groundwater to lake recharge was quantitatively analyzed. The results of this study can facilitate the development of vital strategies for preventing the further deterioration of lake water quality and for protecting wetland ecologies.


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Teorema de Bayes , China , Monitoramento Ambiental/métodos , Água Subterrânea/análise , Humanos , Isótopos/análise , Lagos , Rios , Cloreto de Sódio/análise , Poluentes Químicos da Água/análise
19.
Nat Commun ; 13(1): 5810, 2022 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-36192395

RESUMO

The operation of lithium-ion batteries involves electron removal from and filling into the redox orbitals of cathode materials, experimentally probing the orbital electron population thus is highly desirable to resolve the redox processes and charge compensation mechanism. Here, we combine quantitative convergent-beam electron diffraction with high-energy synchrotron powder X-ray diffraction to quantify the orbital populations of Co and O in the archetypal cathode material LiCoO2. The results indicate that removing Li ions from LiCoO2 decreases Co t2g orbital population, and the intensified covalency of Co-O bond upon delithiation enables charge transfer from O 2p orbital to Co eg orbital, leading to increased Co eg orbital population and oxygen oxidation. Theoretical calculations verify these experimental findings, which not only provide an intuitive picture of the redox reaction process in real space, but also offer a guidance for designing high-capacity electrodes by mediating the covalency of the TM-O interactions.

20.
Chin Med J (Engl) ; 2022 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-36103962

RESUMO

BACKGROUND: The impact of sex on the clinical manifestations of rheumatoid arthritis (RA) were diversely reported in the literature. The Chinese Registry of rhEumatoiD arthrITis provides a platform for the investigation of this issue in Chinese patients. METHODS: Demographic and clinical parameters were collected from all enrolled patients with RA and from patients with early RA (disease duration ≤6 months). The differences in data regarding disease activity, comorbidities, and medications for RA were compared between men and women. The proportions of patients who achieved remission and low disease activity were compared at enrollment and during 3-, 6-, and 12-month follow-up visits. RESULTS: A total of 11,564 patients were enrolled, 83.6% of whom were female. In all the enrolled patients and patients with early RA, C-reactive protein (CRP, 12.0 vs. 6.7 mg/L), pain visual analogue scale (4.8 vs. 4.5), patient's and physician's global assessment (4.9 vs. 4.5 and 4.9 vs. 4.5), 28-joint disease activity score using DAS28-CRP (4.3 vs. 4.0) simplified disease activity index (21.9 vs. 19.9), and clinical disease activity index (19.3 vs. 18.0) were significantly higher in men than in women. Additionally, the swollen joint count/tender joint count and DAS28 using erythrocyte sedimentation rate were higher in male patients than in female patients with early RA. More female patients with early RA reached the treatment target at baseline (28.7% vs. 20.6%, assessed by CDAI). At 3 months, 6 months, and 12 months, the proportion of remission and treatment target achievement was similar in both sexes. Coronary artery disease (CAD) and stroke were more frequent in men than in women. CONCLUSIONS: In Chinese patients with RA, men were found to have more active disease, as well as more cases of CAD and stroke. Therefore, sex should be carefully considered during the personalization of RA treatment.

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