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1.
Clin Cardiol ; 2021 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-33586214

RESUMO

BACKGROUND: Previous studies have used machine leaning to predict clinical deterioration to improve outcome prediction. However, no study has used machine learning to predict cardiac arrest in patients with acute coronary syndrome (ACS). Algorithms are required to generate high-performance models for predicting cardiac arrest in ACS patients with multivariate features. HYPOTHESIS: Machine learning algorithms will significantly improve outcome prediction of cardiac arrest in ACS patients. METHODS: This retrospective cohort study reviewed 166 ACS patients who had in-hospital cardiac arrest. Eight machine learning algorithms were trained using multivariate clinical features obtained 24 h prior to the onset of cardiac arrest. All machine learning models were compared to each other and to existing risk prediction scores (Global Registry of Acute Coronary Events, National Early Warning Score, and Modified Early Warning Score) using the area under the receiver operating characteristic curve (AUROC). RESULTS: The XGBoost model provided the best performance with regard to AUC (0.958 [95%CI: 0.938-0.978]), accuracy (88.9%), sensitivity (73%), negative predictive value (89%), and F1 score (80%) compared with other machine learning models. The K-nearest neighbor model generated the best specificity (99.3%) and positive predictive value (93.8%) metrics, but had low and unacceptable values for sensitivity and AUC. Most, but not all, machine learning models outperformed the existing risk prediction scores. CONCLUSIONS: The XGBoost model, which was generated based on a machine learning algorithm, has high potential to be used to predict cardiac arrest in ACS patients. This proposed model significantly improves outcome prediction compared to existing risk prediction scores.

2.
Emerg Microbes Infect ; : 1-41, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33583360

RESUMO

Concerns about vaccine safety are an important reason for vaccine hesitancy, however, limited information is available on whether common adverse reactions following vaccination affect the immune response. Data from three clinical trials of recombinant vaccines were used in this post hoc analysis to assess the correlation between inflammation-related solicited adverse reactions (ISARs, including local pain, redness, swelling or induration and systematic fever) and immune responses after vaccination. The specific IgG antibody level at one month after the final dose served as the indicator to evaluate the immunogenicity, while safety data were actively collected following the relevant guiding principles. In the phase III trial of the bivalent HPV-16/18 vaccine (Cecolin®), the geometric mean concentrations (GMCs) for IgG anti-HPV-16 and IgG anti-HPV-18 (P<0.001) were significantly higher in participants with any ISAR following vaccination than in those without an ISAR. In the analysis of each symptom, consistent trends were presented in that participants with ISAR had relatively higher antibody levels than those without. Local pain, induration, swelling and systemic fever were significantly correlated with higher GMCs for IgG anti-HPV-16 and/or anti-HPV-18, respectively. Furthermore, the analyses of the immunogenicity bridging study of Cecolin® and the phase III trial of a hepatitis E vaccine yielded similar results. Based on these results, we built a scoring model to quantify the inflammation reactions and found that the high score of ISAR indicates the strong vaccine-induced antibody level. In conclusion, this study suggests strong evidence of a significant correlationship between ISARs and higher antibody levels after vaccination.

3.
Water Res ; 194: 116919, 2021 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-33609906

RESUMO

Understanding of microplastics transport mechanism is highly important for soil contamination and remediation. The transport behaviors of microplastics in soils are complex and influenced by various factors including soil and particle properties, hydrodynamic conditions, and biota activities. Via a microfluidic experiments we study liquid film entrainment and microplastics transport and retention during two-phase displacement in microchannels with one end connected to the air and the other connected to the liquid with suspended particles. We discover three transport patterns of microplastic particles, ranging from no deposition to particle entrapment and to particle layering within liquid films, depending on the suspension withdrawal rates and the particle volume fraction in the suspension. The general behavior of particle motion is effectively captured by the film thickness evolution which is shown to be dependent on a modified capillary number Ca0 taking into account the effects of flow velocity, particle volume fraction, and channel shape. We also provide a theoretical prediction of the critical capillary number Ca0* for particle entrapment, consistent with the experimental results. In addition, the probability of microplastics being dragged into the trailing liquid film near the gas invading front is found to be proportional to both particle volume fraction and the capillary number. This work elucidates the microplastics transport mechanism during unsaturated flow, and therefore is of theoretical and practical importance to understand the contaminant migration in many natural and engineered systems spanning from groundwater sources to water treatment facilities.

4.
Mol Immunol ; 133: 23-33, 2021 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-33621940

RESUMO

Multiple sclerosis (MS) and its animal model experimental autoimmune encephalomyelitis (EAE) are neuroinflammatory autoimmune diseases characterized by the axonal loss, demyelination, and neurodegeneration of the central nervous system. Overactivation of CD4+ T cells, especially the migration of the Th1 and Th17 subsets into the central nervous system (CNS), leads to the secretion of inflammatory mediators and destruction of the contact between neurons and activated macrophages, which can then result in a series of neurocognitive and motor deficits. In this study, we intended to explore the role of miRNA-467b in regulating Th cell development in EAE. We found that the level of miRNA-467b was decreased and eukaryotic initiation factor 4 F (eIF4E) was increased in lymph nodes and the CNS at EAE peak. eIF4E was confirmed as the direct target of miRNA467b. Overexpression of miRNA-467b could suppress a percentage of CD4+ IL-17+ cells in EAE CD4 + T cells in vitro. In addition, we also identified miRNA-467b, which could suppress Th17 cell differentiation by targeting eIF4E in vitro. Furthermore, injecting miRNA-467b mimics into the caudal vein of EAE mice contributed to less inflammation in the peripheral lymphoid organs and CNS and alleviated disease severity. Taken together, our findings imply that miRNA-467b inhibits the differentiation and function of Th17 cells by targeting eIF4E, thereby alleviating EAE.

5.
J Environ Radioact ; 231: 106552, 2021 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-33631504

RESUMO

129I is one of the main radioisotopes of iodine derived from the nuclear fuel cycle that can be found sustainably in the environment due to its long half-life. In coastal marine environment, brown macroalgae, such laminariales (or kelps), are known to naturally feature highest rates of iodine accumulation, and to be an important source of biogenic volatile iodinated compounds released to the atmosphere. These seaweeds are therefore likely to be significantly marked by but also potential vectors of radioactive iodine. In order to better understand the chemical and isotopic speciation of iodine in brown algal tissues, we combined mass spectrometry-based imaging approaches in natural samples of Laminaria digitata young sporophytes, collected at two different locations along the south coast of the English Channel (Roscoff and Goury). Laser desorption ionization (LDI) and desorption electrospray-ionization techniques (DESI), coupled with mass spectrometry, confirmed the predominance of inorganic I- species on the surface of fresh algae, and a peripheral iodine localization when applied on micro-sections. Moreover, radioactive isotope 129I was not detected on plantlet surface or in stipe sections of algal samples collected near Roscoff but was detected in L. digitata samples collected at Goury, near La Hague, where controlled liquid radioactive discharges from the ORANO La Hague reprocessing plant occur. At the subcellular scale, cryo-fixed micro-sections of algal blade samples from both sites were further analyzed by secondary ion mass spectrometry (nano-SIMS), leading to similar results. Even if the signal detected for 129I was much weaker than for 127I in samples from Goury, the chemical imaging revealed some differences in extracellular distribution between radioactive and stable iodine isotopes. Altogether LDI and nano-SIMS are complementary and powerful techniques for the detection and localization of iodine isotopes in algal samples, and for a better understanding of radioactive and stable iodine uptake mechanisms in the marine environment.

6.
Sci Adv ; 7(3)2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33523871

RESUMO

The classic NF-κB pathway plays crucial roles in various immune responses and inflammatory diseases. Its key kinase, IKKß, participates in a variety of pathological and physiological processes by selectively recognizing its downstream substrates, including p105, p65, and IκBα, but the specific mechanisms of these substrates are unclear. Hyperactivation of one of the substrates, p105, is closely related to the onset of inflammatory bowel disease (IBD) in Nfkb1-deficient mice. In this study, we found that IKKß ubiquitination on lysine-238 was substantially increased during inflammation. Using mass spectrometry, we identified USP16 as an essential regulator of the IKKß ubiquitination level that selectively affected p105 phosphorylation without directly affecting p65 or IκBα phosphorylation. Furthermore, USP16 was highly expressed in colon macrophages in patients with IBD, and myeloid-conditional USP16-knockout mice exhibited reduced IBD severity. Our study provides a new theoretical basis for IBD pathogenesis and targeted precision intervention therapy.

7.
Vet Immunol Immunopathol ; 234: 110200, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33571917

RESUMO

C-type lectins (CTLs) are a group of carbohydrate-binding proteins that play crucial roles in innate immune defense against invading pathogens. CTLs have been extensively studied in lower vertebrates, such as fish, for their roles in eliminating pathogens; however, their homologs in pufferfish are not well known. In the present study, eight CTLs from obscure puffer Takifugu obscurus (designated as ToCTL3-10 according to the order they were discovered) were obtained. All predicted ToCTL proteins contained a single carbohydrate recognition domain (CRD). ToCTL7 also contained one calcium-binding epidermal growth factor (EGF)-like domain (EGF_CA) and a transmembrane region. ToCTL9 also contained an SCP domain, an EGF domain, and an EGF-like domain. Bioinformatics analysis revealed that ToCTL3-10 mainly clustered with the corresponding CTL homologs of other pufferfish species. Tissue distribution analysis detected ToCTL3-10 in all tissues examined, including kidneys, liver, gills, spleen, intestines, and heart. Moreover, the expressions of ToCTL3-10 were significantly induced in the kidneys of obscure puffer following challenges with three Gram-negative bacterial pathogens, namely, Vibrio harveyi, Aeromonas hydrophila, and Edwardsiella tarda, and a synthetic analog of double-stranded RNA poly(I:C). The expression patterns of ToCTL3-10 in response to different immune stimulants were different. Our results indicated that the eight ToCTLs obtained herein might be involved in host defense against bacterial and poly(I:C) infections in T. obscurus.

8.
Medicine (Baltimore) ; 100(7): e24668, 2021 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-33607804

RESUMO

ABSTRACT: We aimed to retrospectively analyze the clinical and computed tomography (CT) characteristics of young adults with Coronavirus Disease 2019 (COVID-19) pneumonia who were critically ill and to identify the features associated with non-survival.Thirty-eight COVID-19 patients (20-45 years old, 28 men) who had been admitted in the intensive care unit were included, including 18 non-survivors (group 1) and 20 survivors (group 2). Their clinical characteristics and initial and follow-up CT were compared between groups.In group 1, the days from illness onset to death were 21.1 ±â€Š10.3 days; 7 patients had underlying comorbidities. At admission, group 1 exhibited higher serum ferritin and interleukin-6 (IL-6) levels (1142.6 ±â€Š242.4 mg/L and 33.8 ±â€Š18.6 mmol/L) compared with group 2 (728.3 ±â€Š150.9 mg/L and 15.2 ±â€Š6.9 mmol/L, P < .01). Group 1 exhibited more rapidly progressive opacities and consolidation in follow-up CT (16.7 ±â€Š3.1 scores, 15.7 ±â€Š3.1 segments) than group 2 (11.4 ±â€Š4.0 scores, 10.3 ±â€Š4.6 segments, P < .01). The oxygenation index was lower (87.6 ±â€Š19.2 vs 99.1 ±â€Š20.4 mm Hg) and the mechanical ventilation duration was longer (14.7 ±â€Š6.9 vs 9.7 ±â€Š3.7 days) in group 1 compare with group 2 (P < .01).Compared with the survivors, the non-survivors showed higher serum ferritin and IL-6 levels, more rapidly progressive opacities in CT, lower oxygenation index, and longer mechanical ventilation durations. Special attention to ferritin/IL-6 levels and oxygenation index as well as early CT application and timely reexaminations are important to identify the individuals who may be at risk of becoming critically ill.


Assuntos
/diagnóstico , Pneumonia Viral/diagnóstico , Pneumonia Viral/imunologia , Pneumonia Viral/mortalidade , Tomografia Computadorizada por Raios X/métodos , Adulto , Estado Terminal , Progressão da Doença , Feminino , Humanos , Masculino , Pneumonia Viral/virologia , Estudos Retrospectivos , Análise de Sobrevida
9.
J Cell Mol Med ; 2021 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-33621431

RESUMO

Hepatocellular cancer (HCC) has been reported to belong to one of the highly vascularized solid tumours accompanied with angiogenesis of human umbilical vein endothelial cells (HUVECs). KDM5A, an attractive drug target, plays a critical role in diverse physiological processes. Thus, this study aims to investigate its role in angiogenesis and underlying mechanisms in HCC. ChIP-qPCR was utilized to validate enrichment of H3K4me3 and KDM5A on the promotor region of miR-433, while dual luciferase assay was carried out to confirm the targeting relationship between miR-433 and FXYD3. Scratch assay, transwell assay, Edu assay, pseudo-tube formation assay and mice with xenografted tumours were conducted to investigate the physiological function of KDM5A-miR-433-FXYD3-PI3K-AKT axis in the progression of HCC after loss- and gain-function assays. KDM5A p-p85 and p-AKT were highly expressed but miR-433 was down-regulated in HCC tissues and cell lines. Depletion of KDM5A led to reduced migrative, invasive and proliferative capacities in HCC cells, including growth and a lowered HUVEC angiogenic capacity in vitro. Furthermore, KDM5A suppressed the expression of miR-433 by demethylating H3K4me3 on its promoterregion. miR-433 negatively targeted FXYD3. Depleting miR-433 or re-expressing FXYD3 restores the reduced migrative, invasive and proliferative capacities, and lowers the HUVEC angiogenic capacity caused by silencing KDM5A. Therefore, KDM5A silencing significantly suppresses HCC tumorigenesis in vivo, accompanied with down-regulated miR-433 and up-regulated FXYD3-PI3K-AKT axis in tumour tissues. Lastly, KDM5A activates the FXYD3-PI3K-AKT axis to enhance angiogenesis in HCC by suppressing miR-433.

10.
J Am Chem Soc ; 143(6): 2477-2483, 2021 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-33529522

RESUMO

A catalytic protocol for the enantio- and diastereoselective reduction of α-substituted-ß-keto carbonitriles is described. The reaction involves a DKR-ATH process with the simultaneous construction of ß-hydroxy carbonitrile scaffolds with two contiguous stereogenic centers. A wide range of α-substituted-ß-keto carbonitriles were obtained in high yields (94%-98%) and excellent enantio- and diastereoselectivities (up to >99% ee, up to >99:1 dr). The origin of the diastereoselectivity was also rationalized by DFT calculations. Furthermore, this methodology offers rapid access to the pharmaceutical intermediates of Ipenoxazone and Tapentadol.

11.
Plant Genome ; : e20084, 2021 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-33605090

RESUMO

Room-temperature shelf life is a key factor in fresh market apple (Malus domestica Borkh.) quality and commercial value. To investigate the genetic and molecular mechanism underlying apple shelf life, quantitative trait loci (QTL) were identified using bulked segregant analysis via sequencing (BSA-seq). Ethylene emission, flesh firmness, or crispness of apple fruit from 1,273 F1 plants of M. asiatica Nakai 'Zisai Pearl' × M. domestica 'Golden Delicious' were phenotyped prior to and during 6 wk of room-temperature storage. Segregation of ethylene emission and the flesh firmness or crispness traits was detected in the population. Thirteen QTL, including three major ones, were identified on chromosome 03, 08, and 16. A candidate gene encoding pectin acetylesterase, MdPAE10, from the QTL Z16.1 negatively affected fruit shelf life. A 379-bp deletion in the coding sequence of MdPAE10 disrupted its function. A single nucleotide polymorphism (SNP) in the MdPAE10 promoter region reduced its transcription activity. These findings provided insight into the genetic control of fruit shelf life and can be potentially used in apple marker-assisted selection.

12.
Artigo em Inglês | MEDLINE | ID: mdl-33599064

RESUMO

We herein describe the first enantioselective α-carbonylative arylation, providing a diverse set of chiral spiro ß,ß'-diketones bearing various ring sizes and functionalities in high yields and good to excellent enantioselectivities. Calculations suggest the transformation proceeds through reductive elimination instead of nucleophilic addition pathway.

13.
Carbohydr Polym ; 257: 117608, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33541640

RESUMO

A novel kind of polyelectrolyte complex hydrogels was generated through polymerization of Mesona chinensis polysaccharide (MCP) and chitosan (CH) on the basis of physical crosslinking without the addition of ionic crosslinking agents or heat. Rheological measurement, Fourier transform infrared spectroscopy, X-ray diffraction, thermo-gravimetric analysis, and scanning electron microscopy were used to explore the properties of MCP-CH hydrogels. The effects of CH deacetylation degree (DD) on the gel properties and structural characteristics of MCP-CH hydrogels were also studied. Results showed that 0.5 % MCP and 1% CH could form stable and homogeneous hydrogels with favorable properties via electrostatic interaction. The viscoelasticity, water holding capacity, and thermostability of hydrogels were promoted with the increase in DD. The new crystallization peaks appeared with the formation of MCP-CH hydrogels. Moreover, the honeycomb-liked microstructure of MCP-CH hydrogels improved with the increase in DD. These findings may lay the foundation for the further application of MCP-CH hydrogels.

14.
J Mol Cell Biol ; 2021 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-33532855

RESUMO

The coronavirus disease 2019 (COVID-19) outbreak continues to spread rapidly around the world. By the end of 2020, there have been nearly 80 million confirmed cases and >1.7 million deaths associated with COVID-19 globally (https://www.who.int/emergencies/diseases/novel-coronavirus-2019), with an estimated mortality rate of 0.03%-40% (Wiersinga et al., 2020). Noticeably, the COVID-19 is predicted to threaten millions of people throughout the world in the coming months and years.

15.
Biomed Pharmacother ; 135: 111248, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33450505

RESUMO

Cordyceps militaris has been widely studied for its various pharmacological activities such as antitumor, anti-inflammation, and immune regulation. The binding of an allergen to IgE-sensitized mast cells in nasal mucosa triggers allergic rhinitis. We found that oral administration of 300 mg/kg of the ethanol extract prepared from silkworm pupa-cultivated Cordyceps militaris fruiting bodies significantly alleviated the symptoms of ovalbumin-induced allergic rhinitis in mice, including sneeze/scratch, mast cell activation, eosinophil infiltration, and Syk activation. The treatment of ethanol extract significantly suppressed the release of ß-hexosaminidase (a degranulation marker) and mRNA expression levels of various cytokines, including IL-3, IL-10, and IL-13 in activated RBL2H3 cells. The ethanol extract and ß-sitostenone, which was purified from the extract, could respectively reduce the Ca2+ ion mobilization in activated RBL-2H3 cells. Furthermore, results collected from western immunoblotting demonstrated that ethanol extract significantly retarded Ca2+ ion mobilization-initiated signaling cascade, which provoked the expression of various allergic cytokines. Also, the extract incubation interfered with P38 as well as NF-kB activation and Nrf-2 translocation. Our study suggested that ethanol extract possessed some natural constituents which could inhibit immediate degranulation and de novo synthesis of allergic cytokines via inhibition of Ca2+ ion mobilization in mast cells in the nasal mucosa of allergic rhinitis mice.

16.
Placenta ; 105: 14-22, 2021 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-33517149

RESUMO

INTRODUCTION: Dysregulated genes in glucose transport and metabolize pathways have been found in patients with Gestational diabetes (GDM), but the underlying mechanisms were still unclear. MATERIALS AND METHODS: Placental villous samples were collected from 31 patients with GDM and 20 healthy controls. The expression of GLUT1, GLUT4, GLUT9 and HK2 was examined by immunoblotting and qRT-PCR. The miRNAs have the potential targeting GLUT1 and HK2 were predicted using online bioinformatics tool: TargetScan. The interaction between miRNAs and target genes were confirmed by dual luciferase assay and immunoblotting. The function of miR-9 and miR-22 on glucose metabolism was examined by glucose uptake assay and lactate secretion assay. RESULTS: GLUT1 and HK2 proteins level was found upregulated in patients with GDM, but the mRNA level was not significantly changed. Predicted by using bioinformatics tools and confirmed by dual luciferase assay and immunoblotting, GLUT1 was identified as a target of miR-9 and miR-22, whereas HK2 was identified as a target of miR-9. MiR-9 and miR-22 level was found reduced in the placenta villous and negatively correlated with the expression of GLUT1 and HK2. Functional studies indicated that miR-9 and miR-22 inhibitors upregulated the expression of GLUT1 and HK2, and then increased the glucose uptake, lactate secretion, cell viability and repressed apoptosis in primary syncytiotrophoblasts (STBs) and HTR8/SVneo cells. DISCUSSION: The upregulation of GLUT1 and HK2 in the placenta, which is induced by miR-9 and miR-22 reduction, contributes to the disordered glucose metabolism in patients with GDM.

17.
J Sex Med ; 2021 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-33487573

RESUMO

BACKGROUND: Sexual self-esteem and communication on sexual issues with a partner contribute greatly to an individual's quality of sex life; however, their effects on the relationship between body image and sexual function are underexplored. AIM: To test a serial mediating pathway of sexual self-esteem and sexual communication underlying the relationship between body image and sexual function. METHODS: A total of 510 women aged 18-53 years (mean = 28, SD = 5.5) who were involved in an intimate relationship completed an online survey. OUTCOMES: Women's (i) body appreciation, (ii) body image self-consciousness during sexual intimacy, (iii) sexual self-esteem, (iv) dyadic sexual communication, (v) negative disclosure apprehension, and (vi) sexual function were assessed. RESULTS: Findings revealed that sexual self-esteem and dyadic sexual communication played a serial mediating role in the relationship between body image (body appreciation and body image self-consciousness during sexual intimacy) and sexual function, and the relationship between body image and arousal, lubrication, orgasm, satisfaction, and pain. Sexual self-esteem and negative disclosure apprehension also played a serial mediating role in the relationship between body image and sexual pain. In addition, dyadic sexual communication played a unique mediating role in the relationship between body image and sexual function, which is isolated from the effect of sexual self-esteem. CLINICAL IMPLICATIONS: Women's sexual self-esteem and sexual communication with their partner can make beneficial contributions to the relationship between body image and sexual function. Therefore, promoting women's positive body image, sexual self-esteem, and sexual communication skills deserves attention from women themselves and clinicians. STRENGTHS & LIMITATIONS: This study used a robust method of data analysis to test the mediating effect of sexual self-esteem and sexual communication to clarify the mechanism underlying the relationship between body image and sexual function among Chinese women; however, causal conclusions cannot be drawn. Furthermore, various demographics including participants' age, education level, sexual orientation-factors such as relationship status and length, relationship functioning, and partner-related variables-and other aspects of sexual self-concept and sexual communication should be examined in future research. CONCLUSION: The current study indicates that women's thoughts and feelings regarding sexuality and communicating sexual issues with their partner are associated closely with their body image and sexual function. T Wu, Y Zheng. Effect of Sexual Esteem and Sexual Communication on the Relationship Between Body Image and Sexual Function in Chinese Heterosexual Women. J Sex Med 2021;XX:XXX-XXX.

18.
Taiwan J Obstet Gynecol ; 60(1): 78-83, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33495013

RESUMO

OBJECTIVE: To evaluate the short-term effect of routine early postpartum electromyographic biofeedback assisted pelvic floor muscle training on sexual function and lower urinary tract symptoms. MATERIALS AND METHODS: From December 2016 to November 2017, primiparous women with vaginal delivery, who experienced non-extended second-degree perineal laceration were invited to participate. Seventy-five participants were assigned into a pelvic floor muscle training (PFMT) group or control group. Women in the PFMT group received supervised biofeedback-assisted pelvic floor muscle training at the 1st week and 4th week postpartum. Exercises were performed at home with the same protocol until 6 weeks postpartum. The Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Urinary Distress Inventory short form questionnaire (UDI-6) were used to evaluate sexual function and lower urinary tract symptoms respectively at immediate postpartum, 6 weeks, 3 months, and 6 months postpartum. RESULTS: Forty-five women (23 in PFMT group,22 in control group) completed all questionnaires at 6 months postpartum. For overall sexual function and the three sexual functional domains, no statistically significant difference was found in PISQ scores from baseline to 6 weeks, 3 months, and 6 months postpartum between the PFMT and control groups. For postpartum lower urinary tract symptoms, all symptoms gradually improved over time for both groups without a statistically significant difference between groups. CONCLUSION: Our study showed that supervised biofeedback-assisted pelvic floor muscle training started routinely at one week postpartum did not provide additional improvement in postpartum sexual function and lower urinary tract symptoms.

19.
Gene Ther ; 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33414522

RESUMO

Camptothecin has been used in tumor therapy for a long time but its antitumor effect is rather limited due to the side effect and the drug resistance. FEN1, a major component of DNA repair systems, plays important roles in maintaining genomic stability via DNA replication and repair. Here we found that FEN1 inhibitor greatly sensitizes cancer cells to low-dose camptothecin. The combinative treatment of FEN1 inhibitor and 1 nM camptothecin induced a synthetic lethal effect, which synergistically suppressed cancer cell proliferation and significantly mediated apoptosis both in vitro and in vivo. Our study suggested that targeting FEN1 could be a potent strategy for tumor-targeting cancer therapy.

20.
Soft Matter ; 2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33416069

RESUMO

Facing various problems caused by icing in daily life, preparing photothermal deicing materials with wide applicability in high efficiency and low cost is not only a current research hotspot but also a great challenge. Herein, an economical spray-coating method is applied to prepare high-efficiency flexible photothermal icephobic copper mesh using micro silicon carbide (SiC) particles as photothermal conversion material and nano silica (SiO2) particles as a surface superhydrophobic modifier. Owing to the excellent hierarchical micro-nanostructures, the SiC/SiO2 coated copper mesh exhibits a water contact angle (CA) of 162 ± 2° and a sliding angle (SA) of 3 ± 2°. Interestingly, the coated copper mesh exhibits exceptional mechanical durability against water droplet and water flow impact, repeated bending-twisting and tape-peeling. Benefitting from the robust superhydrophobicity, the SiC/SiO2 coating on the copper mesh can significantly delay the freezing time of the droplets and reduce the ice adhesion strength. Furthermore, the coated copper mesh well retains the good photothermal conversion and thermal conductivity properties of the micro SiC particles. Under NIR irradiation, the surface temperature of the coated copper mesh placed on the ice layer can increase by 35.3 °C in 220 s, so that it can rapidly melt the accumulated frost and ice layer on the inner wall of the refrigerator. The presented flexible photothermal icephobic copper mesh exhibits enormous potential when applied to remove ice from apparatus that is accessible, such as road, overhead transmission lines and power networks owing to its flexibility, economy, and high energy efficiency.

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