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1.
J Phys Chem Lett ; : 5184-5191, 2020 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-32531168

RESUMO

Micro light-emitting diodes (µLEDs) have been considered an excellent candidate for next-generation display technology because of their promising optical properties, outstanding power efficiency, fast response time, high reliability, etc. However, the µLED displays based on individual red-green-blue (RGB) primary chips suffer from severe issues in mass production, such as difficulty in mass transfer, high cost, and low reproducibility. To overcome these issues, an alternative approach has been proposed to achieve full-color µLEDs by assembling ultraviolet- or blue-µLEDs with QD color conversion films (CCFs). In this Perspective, we give a general introduction of QD-based µLEDs and provide an overview of the preparation of fine patterned QD CCFs by inkjet printing. We then discuss advances in II-VI core/shell QD-based µLEDs. This is followed by representative progress on preliminary exploration of lead halide perovskite QD CCFs, which have great potential for use in high-resolution and full-color µLEDs displays. Finally, we address the remaining challenges for further improvement of QD-based µLEDs.

2.
J Orofac Orthop ; 81(4): 239-248, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32393993

RESUMO

BACKGROUND: This study collected 68 smiling photos of cases taken to American Board of Orthodontics clinical exam and were considered as successfully treated. MATERIALS AND METHODS: A panel of 52 raters from different specialties and laypeople were asked to rate the smile attractiveness on a scale from 1-10 and to also choose what components made the smile less attractive. Simple descriptive statistics were used to determine the mean, standard deviations, and quartiles of the smile attractiveness. Multilinear regression (MLR) analysis was used to examine the relationship of smile attractiveness when the variables of age, professional experience, and gender of the raters were considered. Receiver operating characteristic (ROC) was created to correlate the association between smile attractiveness and the perfect smile. RESULTS: The mean rating of each picture ranged from 3.42 ± 1.83 (least attractive smile) to 8.46 ± 1.59 (most attractive smile). The overall mean for smile attractiveness was 6.23 ± 1.09; additionally, it was found that problematic teeth, gum, and lips reduce the smile attractiveness score by 1.7, 1.7, and 1.2, respectively. CONCLUSION: The study showed that only 2 out of 68 American Board of Orthodontics treatment finishes had an attractive and perfect smile.

3.
Clin Rheumatol ; 2020 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-32447599

RESUMO

OBJECTIVES: The clinical characteristics of interstitial pneumonia with autoimmune features (IPAF) and connective tissue disease interstitial lung disease (CTD-ILD) have not been adequately compared. We compared the clinical characteristics of these two conditions and analyzed the changes in lung function before and after treatment of IPAF. METHODS: A total of 412 patients were enrolled in the study, and their clinical characteristics were assessed. The treatment-related changes in 12 cases of IPAF were analyzed. RESULTS: Complete clinical data were available for 126 patients with CTD-ILD and 147 with IPAF. All IPAF patients showed autoantibody positivity. The proportion of patients showing extrapulmonary symptoms in the CTD-ILD group was higher than that in the IPAF group (P < 0.05). Patients with IPAF demonstrated lower P(A-a)O2 and higher PaO2 and PaCO2 than those with CTD-ILD (P < 0.05 for all comparisons). Forced vital capacity (FVC) and diffusing capacity of the lungs for carbon monoxide (DLCO) in IPAF patients were higher than those in CTD-ILD patients (P = 0.023 for FVC; P = 0.011 for DLCO). Among patients with IPAF, only the proportions of honeycombing and nodules were lower than those in CTD-ILD patients (P < 0.05). Both FVC and DLCO values increased after treatment in patients with IPAF (P < 0.05). CONCLUSION: IPAF showed autoantibody positivity and similar computed tomography (CT) findings as CTD-ILD, and lung function in patients with IPAF improved after immunosuppressive treatment, indicating that IPAF should receive attention and early immunosuppressive treatment like CTD-ILD, even though IPAF exhibits no extrapulmonary symptoms.Key Points• Clinical characteristics of IPAF.

4.
Nanoscale ; 12(16): 9231-9239, 2020 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-32307479

RESUMO

Low dimensional semiconductor nanomaterials show great promise for a variety of applications due to their size-dependent and excellent optoelectronic properties. In this work, we developed a strategy to synthesize uniform and very thin CsPbBr3 perovskite nanoplates (NPls) by introducing additional metal bromides. The CsPbBr3 NPls, self-assembled into a face-to-face stacked state, had a thickness of 4.4 nm (equal to only 2 monolayers, 2 MLs) and showed a maximum emission at 437 nm and a narrow FWHM of 14 nm. The formation mechanism of the CsPbBr3 NPls by adding FeBr3 was ascribed to the constrained growth of CsPbBr3 nanocubes when the surface Cs+ ions were substituted by the protonated oleylammonium from the byproduct OLA-HBr.

5.
Sheng Li Xue Bao ; 72(2): 175-180, 2020 Apr 25.
Artigo em Chinês | MEDLINE | ID: mdl-32328611

RESUMO

The present study was aimed to clarify the signaling molecular mechanism by which fibroblast growth factor 21 (FGF21) regulates leptin gene expression in adipocytes. Differentiated 3T3-F442A adipocytes were used as study object. The mRNA expression level of leptin was detected by fluorescence quantitative RT-PCR. The phosphorylation levels of proteins of signal transduction pathways were detected by Western blot. The results showed that FGF21 significantly down-regulated the mRNA expression level of leptin in adipocytes, and FGF21 receptor inhibitor BGJ-398 could completely block this effect. FGF21 up-regulated the phosphorylation levels of ERK1/2 and AMPK in adipocytes. Either ERK1/2 inhibitor SCH772984 or AMPK inhibitor Compound C could partially block the inhibitory effect of FGF21, and the combined application of these two inhibitors completely blocked the effect of FGF21. Neither PI3K inhibitor LY294002 nor Akt inhibitor AZD5363 affected the inhibitory effect of FGF21 on leptin gene expression. These results suggest that FGF21 may inhibit leptin gene expression by activating ERK1/2 and AMPK signaling pathways in adipocytes.

6.
J Org Chem ; 85(8): 5629-5637, 2020 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-32203658

RESUMO

Herein, a new iodide-mediated three-component annulation reaction of secondary anilines, cyclohexanones, and elemental sulfur is demonstrated, which allows access to various phenothiazines with the merits of formation of multiple chemical bonds in one single operation, high step and atom efficiency, readily available feedstocks and catalyst system, and good substrate and functional group compatibility. The developed chemistry capable of constructing novel phenothiazines with structural diversity offers a significant basis for further applications.

7.
Int Immunopharmacol ; 83: 106396, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32193103

RESUMO

OBJECTIVE: To elucidate the effects of ISO-α-acids (IAAs), a PPAR-γ agonist, on ICH rats and its potential mechanism. MATERIAL AND METHODS: The Sprague Dawley rats ICH model was induced by stereotactic injecting of 100 µl autologous artery blood. Ninety male rats were randomly allocated to five groups: autologous blood and IAAs (IAA); received autologous blood, IAAs and PPAR-γ inhibitor (IAA + GW9662); autologous blood and normal Saline (Saline); only autologous blood (Mock); and only needle injection (Sham). Neurological functions were assessed by mNSS. Hematoma volume, brain water content, surface proteins and inflammatory factors were detected. The microglia anti-inflammatory abilities were also evaluated. RESULTS: IAAs were able to significantly decrease ICH rat's mNSS scores, alleviate brain water content, improve hematoma resolution than Saline, Mock (p < 0.05). More "M2" microglial/macrophage can be induced by IAAs. The expression of CD 36 was statistically higher in IAA than other groups (p < 0.05). Injection of IAAs led to a greatly increasing in CD 11b and CD 206 double-positive anti-inflammatory type microglial/macrophage, moreover, a reduction of inflammatory cytokines expression (p < 0.05). Such protective effects can be relieved by GW9662. CONCLUSIONS: This is the first study to elucidate the relationship between IAAs and ICH. IAAs were able to accelerate hematoma absorption, alleviate brain edema, suppress peri-hematoma inflammations and finally improved the outcome of ICH rats. The phenotype was due to the IAAs induction of "M2" microglial/macrophage via activating of PPAR-γ and increasing CD 36 expression.

8.
Talanta ; 212: 120795, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32113557

RESUMO

In the present study, a kind of Eu(III) post-functionalized Zr(IV)-based metal-organic framework (UiO-66(COOH)2, Zr-MOF: Eu3+) was synthesized and utilized as an independently luminescent probe for sensing bilirubin (BR) in human serum, a biomarker of jaundice hepatitis. It can be served as a turn-off fluorescent switch for BR because its red emission from Eu3+ can be easily quenched by BR through a fluorescent resonant energy transfer (FRET) process between BR and its ligands, and as a result, BR is recognized successfully. Particularly, Zr-MOF: Eu3+ has shown many appealing properties, such as high sensitivity, quick response (less than 1 min), broad response window (0-15 µM), and excellent selectivity. Most importantly, a kind of portable test paper based on Zr-MOF: Eu3+ probe has been developed for directly assessing the level of BR in real human serum and further diagnosing bilirubin-related diseases via visually observing the luminescent color variation.

9.
Dalton Trans ; 2020 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-32129394

RESUMO

Red emitters based on CaAl12O19:Mn4+ have been attracting extensive attention due to their advantages of being rare-earth-free and chemically stable. However, their relatively low luminescence efficiencies will seriously hinder their application in light-emitting diodes (LEDs). In this regard, the promising red phosphors of CaAl12O19:Mn4+ were synthesized with enhanced luminous efficiency by introducing the coexisting phase of MgAl2O4. Importantly, an approximately 5 times enhancement of integrated intensity in the emission spectrum was observed for the phosphor with the coexisting phase compared to that with a single phase. Their crystal structures, morphologies and photoluminescence properties and the mechanism of improved luminescence were systematically investigated. Upon exciting them by using near-ultraviolet or blue LEDs, an efficient red emission was achieved with a maximum peak at ∼658 nm. In order to evaluate their potential application, a warm white LED and a plant growth LED were fabricated by using the prepared phosphors in combination with YAG:Ce3+ and InGaN-based blue chips.

10.
Diabetes Ther ; 2020 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-32086768

RESUMO

INTRODUCTION: To date, research is lacking on the development of a cardiovascular disease (CVD) risk assessment tool for people with diabetes mellitus, in general, and for Chinese patients with diabetes in particular. We have explored CVD risk assessment tools for Chinese patients with diabetes. Here, we report our investigation of cardiovascular risk assessment using the improved Framingham Risk Score (I-FRS) in patients with type 2 diabetes mellitus (T2DM) in Beijing communities. METHODS: A total of 3232 patients with T2DM attending Beijing community health centers were enrolled in this study. FRS were used to predict CVD risk in all patients at baseline using the following risk scores for glycated hemoglobin (HbA1c) categories: 0 = HbA1c ≤ 7.0%; 1 = 7.0% < HbA1c ≤ 7.9%;      2 = 8.0% < HbA1c ≤ 8.9%; and 3 = HbA1c > 9.0%. The I-FRS was use to stratify all patients into low (I-FRS < 10%), medium (I-FRS 10-20%), and high (I-FRS > 20%) FRS strata. All treatments administered in the Beijing Communities Diabetes Study were in accordance with national guidelines for T2DM in China, and patients regularly attended clinical consultations with professors in endocrinology, who were experts in their respective speciality, from top tier hospitals. After 10 years, patients were followed-up to assess the long-term effects of the multifactorial interventions. Statistical analysis was performed using SAS® software (SAS Institute, Inc., Cary, NC, USA). RESULTS: The receiver operating characteristic curve of the I-FRS showed significant prediction accuracy for the actual incidence of CVD events. At baseline, subjects in the high FRS stratum for diabetes were more prone to be elderly and to have a longer duration of T2DM, higher systolic blood pressure, and higher lipid profiles. Subjects in the medium and high FRS strata had a higher incidence of CVD events than those in the no-complications group (DM group with no blood pressure issues) (P < 0.001). The 10-year hazard ratios for CVD events in diabetic patients with I-FRS score > 20% was 12.5-fold higher than that of patients with I-FRS score < 10%. Multifactorial intervention significantly reduced the I-FRS of the three FRS strata in patients with T2DM. The post-intervention I-FRS for the hypertension and CVD groups of patients were significantly lower than the respective baseline I-FRS. Cox multivariate analyses revealed that patients in the medium and high FRS strata had higher incidences of endpoint events than those in the low FRS stratum. CONCLUSIONS: The I-FRS plays an important role in predicting CVD in patients with T2DM. Multifactorial interventions for CVD risk factors over 10-year follow-up lowered the estimated 10-year risk for CVD events in persons with diabetes. We suggest the use of the I-FRS score to stratify a patient's risk of CVD when analyzing the efficacy of diabetes management. Aggressive risk reduction should be focused on those individuals with a high I-FRS score. TRIAL REGISTRATION: ChiCTR-TRC-13003978 and ChiCTR-OOC-15006090.

11.
Org Lett ; 22(6): 2308-2312, 2020 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-32109075

RESUMO

Herein, we present an unprecedented iridium/acid cocatalyzed construction of fused indoles via transfer hydrogenative annulation of nonactivated quinolines and 1,2-diketones. The products are assembled via initial reduction followed by selective coupling of 1,2-diketones with the N and C8 sites of the quinolyl skeleton. The developed synthetic method features operational simplicity, readily available feedstocks, applicability for streamline synthesis of functional molecules, high step and atom efficiency, and generation of water as the byproduct.

12.
Ann N Y Acad Sci ; 1460(1): 3-10, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31414713

RESUMO

In eukaryotic cells, ubiquitination and proteasomal degradation is an essential mechanism for regulating protein functions. For example, critical signaling proteins play their roles by controlling different cellular functions. Once a signaling protein has been activated, its activity needs to be quickly downregulated by different mechanisms, including ubiquitination/proteasome regulation. Failure to regulate the activity or expression levels of these proteins may cause human diseases. Protein ubiquitination involves a cascade of biochemical processes and requires three types of ubiquitin enzymes: E1 activating enzyme, E2 conjugating enzyme, and E3 ligase. Among these enzymes, E3 ubiquitin ligases play a specific role in recognizing specific protein substrates. There are several structurally diverse groups of E3 ubiquitin ligases in eukaryotic cells, and one type of these E3 ligases is the U-box ubiquitin ligases. Carboxyl terminus of HSP70-interacting protein (CHIP) is a member of a family of U-box E3 ligases. It plays critical roles in multiple organs and tissues in the body. In this review article, we provide an update on some of the most recent discoveries about CHIP in normal physiological function and in disease.


Assuntos
Células/enzimologia , Doença , Ubiquitina-Proteína Ligases/metabolismo , Envelhecimento/patologia , Humanos , Imunidade , Inflamação/patologia
13.
Nanotechnology ; 31(12): 125706, 2020 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-31770738

RESUMO

Inspired by natural photosynthesis, artificial heterojunction photocatalysts have been extensively studied. Herein, a novel ternary graphitic carbon nitride/platinum/bismuth vanadate (g-C3N4/Pt/BiVO4) photocatalytic system was successfully synthesized, where Pt/BiVO4 nanosheet is anchored on the surface of layered g-C3N4, as evidenced by structural observations. Ultraviolet photoelectron spectroscopy and ultraviolet-visible diffuse reflectance spectroscopy are carried out to identify the position of the conduction band and valence band. A Z-scheme is used to interpret the superior photocatalytic performance of g-C3N4/Pt/BiVO4 and further verified by the capture of free radicals and terephthalic acid photoluminescence experiments. Compared with the g-C3N4/BiVO4 binary system, the Z-scheme g-C3N4/Pt/BiVO4 photocatalyst not only possesses enhanced carrier separation efficiency but also maintains sufficient redox properties, thus inducing superior photocatalytic activity. More importantly, the novel Z-scheme photocatalyst exhibits excellent recycle stability, which could provide inspiration for the rational design of efficient and practical photocatalysts for environmental pollution treatment. The ternary photocatalyst also exhibits significantly enhanced visible-light photocatalytic hydrogen production performance.

14.
Nanotechnology ; 31(15): 155602, 2020 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-31860881

RESUMO

Functional modification and structural design of carbon electrode materials are considered as a cost-effective method to improve their electrochemical performance. In this study, a solvothermal method is applied to realize self-assembly of the metal-organic framework. After simple carbonization and acid treatment, carbon nanosheets with 2D adjustable defective sub-units are successfully prepared for the first time. It is found that carbonization temperature has a significant effect on the carbon skeleton structure. The optimal nanostructures with large specific surface area and appropriate pore size distribution make self-assembled carbon nanosheets having excellent Li/Na-ion storage properties. In addition, the adjustable carbon skeleton structure can effectively avoid irreversible damage when charge-discharge cycles. For Li-ion batteries, a specific capacity of 825 mAh g-1 is achieved after 100 cycles at 100 mA g-1, while for Na-ion batteries a specific capacity of 193 mAh g-1 is observed after 100 cycles at 100 mA g-1. Moreover, for Na-ion batteries, even at a high rate of 1000 mA g-1 the material delivers a specific capacity of 109.5 mAh g-1 after 3500 cycles.

15.
Front Oncol ; 9: 1226, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31824838

RESUMO

Background: Papillary thyroid carcinoma (PTC) is the most prevalent cancer type in the endocrine system. Metastases to parapharyngeal lymph nodes (PPLNs) are rare. Herein, we reported a case series of PTC patients with PPLN metastases operated on by using the minimally invasive video-assisted (MIVA) technique to evaluate the safety and effectiveness of this technique. Method: In this single-institutional study, six consecutive PTC patients with PPLN metastases between January 2012 and July 2018 were enrolled. All PPLNs were managed by the MIVA technique. Result: Six patients (three women and three men) who underwent surgery were enrolled in the current study. The median age of patients was 40.5 years (39-66). Five patients (83.3%) were diagnosed with primary PTC with PPLN metastases, and one patient had PTC recurrence in the PPLNs 17 years after her first PTC surgery. Surgical treatment was successful in all patients, and the median operative time and bleeding volume were 185 (100-280) min and 85 (30-120) ml, respectively. None of the patients experienced post-operative complications except for one patient who experienced dysphagia, which resolved within 3 months. During a median follow-up of 15 months (10-31), none of the patients exhibited recurrence or persistent disease. Conclusion: The MIVA transcervical approach was technically feasible and reliable, with less invasiveness for PTC patients with PPLN metastases. Future studies are needed to accumulate more experience, investigate the indications of the technique, and determine the long-term oncological safety.

16.
Biomed Res Int ; 2019: 4242304, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31886212

RESUMO

Background: Neck circumference (NC) was found to be related to the risk factors of cardiovascular disease. However, the effects of NC on cardiovascular disease are still controversial. A prospective study of Chinese patients with type 2 diabetes was performed to evaluate the relationship between NC and cardiovascular disease. Methods: A multicenter prospective study with eight-year follow-up was conducted in Beijing communities. Cardiovascular events were defined as myocardial infarction, unstable angina pectoris, hospitalization for heart failure, coronary revascularization, cardiac death, stroke, transient ischemic attack, and cerebral hemorrhage. Results: A total of 3,009 diabetic patients were recruited. Following an eight-year follow-up, 211 patients with cardiovascular events (105 in men and 106 in women) were identified. All patients were categorized into two groups according to the upper quartile of NC (43 cm in men and 39 cm in women). The prevalence of cardiovascular events in men with an NC >43 cm (16.48%) was higher than that in the group with an NC <43 cm (8.16%, p=0.007). The prevalence of cardiovascular events in women with the NC >39 cm (10.67%) was higher compared to the group with NC <39 cm (5.31%, p=0.004). The longitudinal prevalence of cardiovascular events in groups with different NC increased with the increasing duration of follow-up (p < 0.001). Cox regression analysis showed that higher NC was associated with the occurrence of cardiovascular events after adjusting for confounding variables (adjusted HR = 2.305 (1.535-3.460)). Conclusions: NC was associated with the occurrence of cardiovascular events in type 2 diabetes in Chinese communities, and greater NC may increase the risk of cardiovascular events by about 2.3-fold.


Assuntos
Doenças Cardiovasculares/patologia , Complicações do Diabetes/patologia , Diabetes Mellitus Tipo 2/patologia , Pescoço/patologia , Adulto , Pequim/epidemiologia , Doenças Cardiovasculares/epidemiologia , Complicações do Diabetes/epidemiologia , Diabetes Mellitus Tipo 2/epidemiologia , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores Sexuais
17.
BMC Endocr Disord ; 19(1): 124, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31729977

RESUMO

BACKGROUND: To investigate the risk factors of cervical lymph node (LN) metastasis in papillary thyroid microcarcinoma (PTMC) patients. METHODS: We retrospectively analyzed the clinicopathologic data of all patients who received standard lobectomy for PTMC at our institution between October 2017 and January 2019. Central LNs were dissected in all patients. Lateral LNs were dissected if metastasis to the lateral LNs was suggested based on pre-op fine-needle aspiration biopsy. The relationship between variables available prior to surgery and cervical LN metastasis was examined using multivariate regression. RESULTS: Post-op pathologic examination revealed cervical LN metastasis in 79 (29.5%) patients. Seventy subjects had metastasis only to central LNs, and 4 (1.5%) patients had metastasis only to lateral LNs. Five patients had metastasis to both central and lateral LNs. In comparison to patients without cervical LN metastasis, those with LN metastasis were significantly younger (40.63 ± 13.07 vs. 44.52 ± 12.23 years; P = 0.021) and had significantly larger tumor diameter on pathology (6.7 ± 2.2 vs. 5.9 ± 2.4 mm; P = 0.010). Multivariate regression analysis identified the following independent risks for cervical LN metastasis: male sex (OR 2.362, 95%CI 1.261~4.425; P = 0.007), age (OR 0.977, 95%CI 0.956~0.999; P = 0.042) and ultrasound tumor diameter at > 5 mm (OR 3.172, 95%CI 1.389~7.240; P = 0.006). CONCLUSION: Cervical LN metastasis occurs in a non-insignificant proportion of PTMC patients. Independent risks included male sex, younger age and larger tumor diameter on ultrasound.


Assuntos
Carcinoma Papilar/secundário , Linfonodos/patologia , Procedimentos Cirúrgicos Operatórios/métodos , Câncer Papilífero da Tireoide/secundário , Neoplasias da Glândula Tireoide/patologia , Adolescente , Adulto , Idoso , Carcinoma Papilar/cirurgia , Feminino , Seguimentos , Humanos , Linfonodos/cirurgia , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Câncer Papilífero da Tireoide/cirurgia , Neoplasias da Glândula Tireoide/secundário , Neoplasias da Glândula Tireoide/cirurgia , Adulto Jovem
18.
Medicine (Baltimore) ; 98(45): e17733, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31702624

RESUMO

BACKGROUND: Cervical radiculopathy (CR), which is most often stems from degenerative disease in the cervical spine, has increasingly become a common and frequently occurring disease in clinic due to the popularity of electronic products, such as computes and cell phones. Some studies have shown that exercise or exercise combined with other treatments can effectively decrease pain and improve functional status. The objective was to analyze the effects of exercise for treating patients with CR. METHODS: Seven databases were searched from inception to December 2018. Randomized controlled trials involving exercise alone or exercise combined with conventional treatment were enrolled. Data were pooled after trials quality assessment for meta-analysis. Outcomes were pain (visual analog scale [VAS]), quality of life (12-short form health survey, 36-short form health survey), and physical function accessed by neck disability index (NDI). RESULTS: Ten studies involving 871 participants with CR were included. Meta-analysis revealed that compared with control group, there was a reduction in VAS (standardized mean difference = -0.89; 95% confidence interval [CI]: -1.34 to -0.44; Z = 3.89; P < .001). There was also an improvement of NDI (mean difference = -3.60; 95% CI: -6.27 to -0.94; Z = 2.65; P = .008)]. Additionally, although the results of subgroup analyses were changed due to the paucity of the quantity and quality of the included studies. The pooled results were verified to be stable by sensitivity analyses. Besides, the grading of recommendations assessment, development, and evaluation level of evidence is low for each outcome. CONCLUSION: Exercise alone or exercise plus other treatment may be helpful to patients with CR. However, exercise option should be carefully considered for each patient with CR in accordance with their different situations. Large-scale studies using proper methodology are recommended.


Assuntos
Terapia por Exercício/métodos , Radiculopatia/reabilitação , Humanos , Medição da Dor , Qualidade de Vida , Resultado do Tratamento , Escala Visual Analógica
19.
Artigo em Inglês | MEDLINE | ID: mdl-31418982

RESUMO

The use of gold nanoparticles as radiosensitizers is an effective way to boost the killing efficacy of radiotherapy while drastically limiting the received dose and reducing the possible damage to normal tissues. Herein, we designed aggregation-induced emission gold clustoluminogens (AIE-Au) to achieve efficient low-dose X-ray-induced photodynamic therapy (X-PDT) with negligible side effects. The aggregates of glutathione-protected gold clusters (GCs) assembled through a cationic polymer enhanced the X-ray-excited luminescence by 5.2-fold. Under low-dose X-ray irradiation, AIE-Au strongly absorbed X-rays and efficiently generated hydroxyl radicals, which enhanced the radiotherapy effect. Additionally, X-ray-induced luminescence excited the conjugated photosensitizers, resulting in a PDT effect. The in vitro and in vivo experiments demonstrated that AIE-Au effectively triggered the generation of reactive oxygen species with an order-of-magnitude reduction in the X-ray dose, enabling highly effective cancer treatment.

20.
Medicine (Baltimore) ; 98(35): e16975, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31464943

RESUMO

BACKGROUND: Significant functional limitations and disabilities are common presenting complaints for people suffering from cervical radiculopathy. Exercise is a common conservative treatment for this disease. Therefore, we conducted a systematic review and meta-analysis to explore the efficacy of exercise in the treatment of cervical radiculopathy. METHODS: A systematic literature search for studies will be performed in 7 databases, including PubMed, Web of Science, Embase, the Cochrane Library, the Chinese National Knowledge Infrastructure Database (CNKI), Wanfang database, and VIP database. The methodological quality of the included studies using the risk bias assessment tool of Cochrane and the level of evidence for results are assessed by the GRADE method. Statistical analysis is conducted with Revman 5.3. RESULTS: This systematic review and meta-analysis will provide a synthesis of existed evidences for exercise on cervical radiculopathy. CONCLUSION: The conclusion of this study will provide evidence to assess effectiveness of exercise on cervical radiculopathy, which can further guide clinical decision-making. PROSPERO REGISTRATION NUMBER: CRD42019121886.


Assuntos
Vértebras Cervicais , Exercício Físico/fisiologia , Radiculopatia/terapia , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa
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