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1.
J Biol Dyn ; 13(1): 675-705, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31672099

RESUMO

In this paper, a mathematical model describing tuberculosis transmission with fast and slow progression and age-dependent latency and infection is investigated. It is assumed in the model that infected individuals can develop tuberculosis by either of two pathogenic mechanisms: direct progression or endogenous reactivation. It is shown that the transmission dynamics of the disease is fully determined by the basic reproduction number. By analyzing corresponding characteristic equations, the local stability of a disease-free steady state and an endemic steady state of the model is established. By using the persistence theory for infinite dimensional system, it is proved that the system is uniformly persistent when the basic reproduction number is greater than unity. By constructing suitable Lyapunov functionals and using LaSalle's invariance principle, it is verified that the global dynamics of the system is completely determined by the basic reproduction number.

2.
Chem Commun (Camb) ; 55(86): 12940-12943, 2019 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-31599888

RESUMO

Mesoporous LaFeO3 was used as a p-type visible-light-absorbing semiconductor (VLAS) substrate for light-driven H2 generation. The successful modification of LaFeO3 with a molecular dye (P1*) and a molecular hydrogen production catalyst (NiP) paved a novel way to construct DS-PEC photocathodes for solar-driven H2 generation by using VLASs.

3.
J BUON ; 24(4): 1429-1434, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31646787

RESUMO

PURPOSE: To investigate the clinical value of spectral computed tomography (CT) imaging combined with alpha-fetoprotein (AFP) in identifying liver cancer and hepatic focal nodular hyperplasia (FNH). METHODS: A total of 132 patients with local liver space-occupying lesions, including 68 patients with liver cancer, were randomly enrolled. All the patients underwent spectral CT imaging and AFP examinations. The corresponding specificity, sensitivity, accuracy rate, positive predictive value and negative predictive value of spectral CT imaging, AFP and combined detection were recorded, respectively, with pathological findings as the gold standards. SPSS 17.0 software was used for statistical analysis. P<0.05 suggested that the difference was statistically significant. RESULTS: The diagnostic rate of spectral CT imaging was 79.5% for liver cancer and 81.3% for hepatic FNH. In arterial phase and portal venous phase, the contrast-to-noise ratio (CNR) of liver cancer was remarkably lower than that of FNH, showing a statistically significant difference, and the difference was the greatest at 70-100 keV between the two kinds of lesions. The detection rate of AFP for liver cancer was 86.8%, and the exclusive diagnostic rate of AFP for hepatic FNH was 96.9%. AFP had the highest specificity (73.2%) in identifying liver cancer and hepatic FNH. The spectral CT imaging possessed the highest sensitivity (91.7%) in identifying liver cancer and hepatic FNH. Both the sensitivity (98.1%) and accuracy (89.1%) of spectral CT imaging combined with AFP were the highest in identifying liver cancer and hepatic FNH. CONCLUSION: The spectral CT imaging combined with AFP is conducive to improving the efficiency of differential diagnosis of liver cancer and hepatic FNH.

4.
Cardiovasc Diabetol ; 18(1): 134, 2019 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-31610783

RESUMO

BACKGROUND: The aim of the present study is to examine the effects of free fatty acids (FFAs) on major cardiovascular events (MACEs) in patients with stable coronary artery disease (CAD) and different glucose metabolism status. METHODS: In this study, we consecutively enrolled 5443 patients from March 2011 to May 2015. Patients were categorized according to both status of glucose metabolism status [diabetes mellitus (DM), pre-diabetes (Pre-DM), normal glycaemia regulation (NGR)] and FFAs levels. All subjects were followed up for the occurrence of the MACEs. RESULTS: During a median of 6.7 years' follow-up, 608 MACEs occurred. A twofold higher FFAs level was independently associated with MACEs after adjusting for confounding factors [Hazard Ratio (HR): 1.242, 95% confidence interval (CI) 1.084-1.424, p value = 0.002]. Adding FFAs to the Cox model increased the C-statistic by 0.015 (0.005-0.027). No significant difference in MACEs was observed between NGR and Pre-DM groups (p > 0.05). When patients were categorized by both status of glucose metabolism and FFAs levels, medium and high FFAs were associated with significantly higher risk of MACEs in Pre-DM [1.736 (1.018-2.959) and 1.779 (1.012-3.126), all p-value < 0.05] and DM [2.017 (1.164-3.494) and 2.795 (1.619-4.824), all p-value < 0.05]. CONCLUSIONS: The present data indicated that baseline FFAs levels were associated with the prognosis in DM and Pre-DM patients with CAD, suggesting that FFAs may be a valuable predictor in patients with impaired glucose metabolism.

5.
Nat Commun ; 10(1): 4695, 2019 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-31619685

RESUMO

Circular RNAs (circRNAs) have been implicated in cancer progression through largely unknown mechanisms. Herein, we identify an N6-methyladenosine (m6A) modified circRNA, circNSUN2, frequently upregulated in tumor tissues and serum samples from colorectal carcinoma (CRC) patients with liver metastasis (LM) and predicts poorer patient survival. The upregulated expression of circNSUN2 promotes LM in PDX metastasis models in vivo and accelerates cancer cells invasion in vitro. Importantly, N6-methyladenosine modification of circNSUN2 increases export to the cytoplasm. By forming a circNSUN2/IGF2BP2/HMGA2 RNA-protein ternary complex in the cytoplasm, circNSUN2 enhances the stability of HMGA2 mRNA to promote CRC metastasis progression. Clinically, the upregulated expressions of circNSUN2 and HMGA2 are more prevalent in LM tissues than in primary CRC tissues. These findings elucidate that N6-methyladenosine modification of circNSUN2 modulates cytoplasmic export and stabilizes HMGA2 to promote CRC LM, and suggest that circNSUN2 could represent a critical prognostic marker and/or therapeutic target for the disease.

6.
J Immunother Cancer ; 7(1): 264, 2019 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-31623662

RESUMO

BACKGROUND: Immune checkpoint inhibitors (ICIs) have achieved impressive success in different cancer types, yet responses vary and predictive biomarkers are urgently needed. Growing evidence points to a link between DNA methylation and anti-tumor immunity, while clinical data on the association of genomic alterations in DNA methylation-related genes and ICI response are lacking. METHODS: Clinical cohorts with annotated response and survival data and matched mutational data from published studies were collected and consolidated. The predictive function of specific mutated genes was first tested in the discovery cohort and later validated in the validation cohort. The association between specific mutated genes and tumor immunogenicity and anti-tumor immunity was further investigated in the Cancer Genome Altas (TCGA) dataset. RESULTS: Among twenty-one key genes involving in the regulation of DNA methylation, TET1-mutant (TET1-MUT) was enriched in patients responding to ICI treatment in the discovery cohort (P < 0.001). TET1 was recurrently mutated across multiple cancers and more frequently seen in skin, lung, gastrointestinal, and urogenital cancers. In the discovery cohort (n = 519), significant differences were observed between TET1-MUT and TET1-wildtype (TET1-WT) patients regarding objective response rate (ORR, 60.9% versus 22.8%, P < 0.001), durable clinical benefit (DCB, 71.4% versus 31.6%, P < 0.001), and progression-free survival (PFS, hazard ratio = 0.46 [95% confidence interval, 0.25 to 0.82], P = 0.008). In the validation cohort (n = 1395), significant overall survival (OS) benefit was detected in the TET1-MUT patients compared to TET1-WT patients (hazard ratio = 0.47 [95% confidence interval, 0.25 to 0.88], P = 0.019), which was, importantly, independent of tumor mutational burden and high microsatellite instability; as well as not attributed to the prognostic impact of TET1-MUT (P > 0.05 in both two non-ICI-treated cohorts). In TCGA dataset, TET1-MUT was strongly associated with higher tumor mutational burden and neoantigen load, and inflamed pattern of tumor-infiltrating T lymphocytes, immune signatures and immune-related gene expressions. CONCLUSIONS: TET1-MUT was strongly associated with higher ORR, better DCB, longer PFS, and improved OS in patients receiving ICI treatment, suggesting that TET1-MUT is a novel predictive biomarker for immune checkpoint blockade across multiple cancer types.

7.
Br J Pharmacol ; 2019 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-31648381

RESUMO

BACKGROUND AND PURPOSE: Damage to intestinal epithelial cells and mucosa limits the effectiveness of chemotherapy because of unknown underlying mechanism. It is little known how enteric nervous system regulates proliferation, differentiation, impairment and regeneration of intestinal stem cells. We currently investigated the effects of isoproterenol on the damaged intestinal stem cells induced by chemotherapeutic treatment in mice. EXPERIMENTAL APPROACH: The effects of inhibiting sympathetic and parasympathetic nerves on intestinal stem cells were examined. Protection of isoproterenol on intestinal stem cells was assessed in the presence or absence of 5-Fluorouracil (5FU) or cisplatin (CP). Cellular apoptosis, cell cycle, PI3K-Akt signaling and NF-κB signaling in intestinal stem cells were mechanistically evaluated. KEY RESULTS: Sympathetic nerve inhibitor 6-OHDA had a detrimental effect on the number and function of intestinal stem cells. 5FU or CP treatment damaged both intestinal stem cells and sympathetic nerves. Notably, isoproterenol accelerated the recovery of intestinal stem cells under 5FU or CP treatment. The protection of isoproterenol on damaged intestinal stem cells is mediated by ß2 adrenergic receptor. The beneficial role of isoproterenol was mainly mediated by decreasing cellular apoptosis induced by 5FU treatment, which might contribute to fine-tuning regulating NF-κB signaling pathway by isoproterenol administration. CONCLUSION AND IMPLICATIONS: Administration with isoproterenol is a new avenue to ameliorate the damage to intestinal stem cells under chemotherapeutic stress conditions.

8.
J Chromatogr A ; : 460586, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31606157

RESUMO

It has been known that anion exchangers prepared by grafting poly(ethyleneimine) (PEI) onto Sepharose FF (PEI-Sepharose) at ionic capacities (IC) over 600 mmol/L show both high protein adsorption capacity and uptake kinetics, and charge reversal of PEI-Sepharose by modification with succinic anhydride can produce protein cation exchangers of high capacity and uptake rate. Previously, a Charge Reversal-then-Reduction procedure (route A) was studied for preparation of cation exchangers of different IC values from PEI-Sepharose. In this work, we proposed a new route, that is, Charge Reduction-then-Reversal route (route B), to develop cation exchangers of different IC values from PEI-Sepharose FF with an IC of 700 mmol/L (FF-PEI-L700) as the starting resin. The two kinds of cation exchangers (route A, PEI-L700-CRn; route B, PEI-Rm-Cn) are compared for lysozyme (Lys) adsorption and chromatography. The two modification routes result in the difference in the ligand structures that significantly affect protein adsorption equilibrium and kinetics. Route A introduces long electroneutral groups that hinder protein adsorption and reduce equilibrium capacity. Moreover, charge reversal by reaction with succinic anhydride could cause diamide formation, which reduces remaining carboxyl groups or the IC. In the charge-reduced FF-PEI-Rm resins of the lowest IC (394 mmol/L) prepared in route B, the diamide formation was little due to the lack of primary and secondary amine groups, so its charge reversal makes a higher-IC cation exchanger. This makes PEI-Rm-Cn show a higher IC (589 mmol/L) than PEI-L700-CRn (463 mmol/L) in which De/D0 jumps about four times. The differences in the adsorption equilibrium and kinetics make the two kinds of resins behave distinctly in dynamic adsorption and chromatography. Namely, PEI-Rm-Cn resins display obviously higher dynamic binding capacities than PEI-L700-CRn resins in the IC range studied. For instance, the DBC (at 10% breakthrough) of PEI-R590-C680 (192 mg/mL) is 33% higher than that of PEI-L700-CR680 (144 mg/mL). This is proved by the purification of Lys from chicken egg white solution, in which the PEI-R590-C680 column purified Lys with a recovery yield 14% higher than the PEI-L700-CR680 column. This research thus demonstrated that Charge Reduction-then-Reversal route is superior over Charge Reversal-then-Reduction route in fabricating a high-capacity cation exchanger from PEI-Sepharose.

11.
Lancet Oncol ; 2019 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-31591062

RESUMO

BACKGROUND: Upper gastrointestinal cancers (including oesophageal cancer and gastric cancer) are the most common cancers worldwide. Artificial intelligence platforms using deep learning algorithms have made remarkable progress in medical imaging but their application in upper gastrointestinal cancers has been limited. We aimed to develop and validate the Gastrointestinal Artificial Intelligence Diagnostic System (GRAIDS) for the diagnosis of upper gastrointestinal cancers through analysis of imaging data from clinical endoscopies. METHODS: This multicentre, case-control, diagnostic study was done in six hospitals of different tiers (ie, municipal, provincial, and national) in China. The images of consecutive participants, aged 18 years or older, who had not had a previous endoscopy were retrieved from all participating hospitals. All patients with upper gastrointestinal cancer lesions (including oesophageal cancer and gastric cancer) that were histologically proven malignancies were eligible for this study. Only images with standard white light were deemed eligible. The images from Sun Yat-sen University Cancer Center were randomly assigned (8:1:1) to the training and intrinsic verification datasets for developing GRAIDS, and the internal validation dataset for evaluating the performance of GRAIDS. Its diagnostic performance was evaluated using an internal and prospective validation set from Sun Yat-sen University Cancer Center (a national hospital) and additional external validation sets from five primary care hospitals. The performance of GRAIDS was also compared with endoscopists with three degrees of expertise: expert, competent, and trainee. The diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of GRAIDS and endoscopists for the identification of cancerous lesions were evaluated by calculating the 95% CIs using the Clopper-Pearson method. FINDINGS: 1 036 496 endoscopy images from 84 424 individuals were used to develop and test GRAIDS. The diagnostic accuracy in identifying upper gastrointestinal cancers was 0·955 (95% CI 0·952-0·957) in the internal validation set, 0·927 (0·925-0·929) in the prospective set, and ranged from 0·915 (0·913-0·917) to 0·977 (0·977-0·978) in the five external validation sets. GRAIDS achieved diagnostic sensitivity similar to that of the expert endoscopist (0·942 [95% CI 0·924-0·957] vs 0·945 [0·927-0·959]; p=0·692) and superior sensitivity compared with competent (0·858 [0·832-0·880], p<0·0001) and trainee (0·722 [0·691-0·752], p<0·0001) endoscopists. The positive predictive value was 0·814 (95% CI 0·788-0·838) for GRAIDS, 0·932 (0·913-0·948) for the expert endoscopist, 0·974 (0·960-0·984) for the competent endoscopist, and 0·824 (0·795-0·850) for the trainee endoscopist. The negative predictive value was 0·978 (95% CI 0·971-0·984) for GRAIDS, 0·980 (0·974-0·985) for the expert endoscopist, 0·951 (0·942-0·959) for the competent endoscopist, and 0·904 (0·893-0·916) for the trainee endoscopist. INTERPRETATION: GRAIDS achieved high diagnostic accuracy in detecting upper gastrointestinal cancers, with sensitivity similar to that of expert endoscopists and was superior to that of non-expert endoscopists. This system could assist community-based hospitals in improving their effectiveness in upper gastrointestinal cancer diagnoses. FUNDING: The National Key R&D Program of China, the Natural Science Foundation of Guangdong Province, the Science and Technology Program of Guangdong, the Science and Technology Program of Guangzhou, and the Fundamental Research Funds for the Central Universities.

12.
J Am Chem Soc ; 2019 Oct 29.
Artigo em Inglês | MEDLINE | ID: mdl-31660742

RESUMO

The development of facile techniques for precisely patterning complex metal and metal oxide nanostructures is essential for catalytic nanosystems, and optical and electronical nanodevices. Herein, we report a general strate-gy for designing and fabricating metal and metal oxide nanoclusters (MMONs) with arbitrarily prescribed patterns on DNA origami templates. The valuable feature of our ap-proach lies in the site-specific arrangement of thiol groups on DNA origami, which act as reaction centers, initiating in situ MMONs growth. This strategy can be generalized to the patterning of arbitrary geometries and various inorganic materials, which will aid the generation of complex and precisely-arranged components for customized functional nanoarchitectures.

13.
Eur J Prev Cardiol ; : 2047487319880985, 2019 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-31604401

RESUMO

AIMS: Familial hypercholesterolemia patients are characterized by early onset of coronary artery calcification and atherosclerosis, and high incidence of cardiovascular events. Plasma proprotein convertase subtilisin/kexin type 9 was reported to be a predictor for cardiovascular risk in the general population. However, its prognostic value for predicting recurrent cardiovascular events in familial hypercholesterolemia patients remains undetermined. METHODS: A total of 249 patients with molecularly and/or clinically (Dutch Lipid Clinic Network score > 6) defined familial hypercholesterolemia who had experienced a first cardiovascular event were consecutively included and plasma proprotein convertase subtilisin/kexin type 9 concentrations were measured by enzyme-linked immunosorbent assay. Coronary artery calcification was measured using Agatston method and coronary severity was assessed by Gensini score, respectively. All patients received standard lipid-lowering therapy and were followed-up for recurrent cardiovascular events. Univariate and multivariate regression and Cox analyses was used to calculate hazard ratios with 95% confidence interval. RESULTS: Circulating proprotein convertase subtilisin/kexin type 9 concentrations were positively associated with coronary artery calcification scores and Gensini score by both univariate and multivariate analyses. During a mean follow-up of 43 ± 19 months, 29 (11.51%) recurrent cardiovascular events occurred. Kaplan-Meier analysis showed that patients with the highest proprotein convertase subtilisin/kexin type 9 levels had the lowest event-free survival time. Multivariable Cox regression analysis revealed that proprotein convertase subtilisin/kexin type 9 was independently associated with recurrent cardiovascular events (hazard ratio: 1.45, 95% confidence interval: 1.11-1.88). The combination of proprotein convertase subtilisin/kexin type 9 to Cox prediction model led to an enhanced predictive value for recurrent cardiovascular events. CONCLUSIONS: Increased level of proprotein convertase subtilisin/kexin type 9 was a significant risk factor of atherosclerosis and independently predicted future recurrent cardiovascular events in familial hypercholesterolemia patients receiving standard lipid-lowering treatment.

14.
Small ; : e1903725, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31599490

RESUMO

Lithium (sodium)-metal batteries are the most promising batteries for next-generation electrical energy storage due to their high volumetric energy density and gravimetric energy density. However, their applications have been prevented by uncontrollable dendrite growth and large volume expansion during the stripping/plating process. To address this issue, the key strategy is to realize uniform lithium (sodium) deposition during the stripping/plating process. Herein, a thin lithiophilic layer consisting of RuO2 particles anchored on brush-like 3D carbon cloth (RuO2 @CC) is prepared by a simple solution-based method. After infusion of Li, the RuO2 @CC transfers to Li-Ru@CC. Ru nanoparticles not only play a role in leading Li+ (Na+ ) to plate on the 3D carbon framework, but also lower local current density because of the good electrical conductivity. Furthermore, density functional theory calculations demonstrate that Ru metal, the reaction product of alkali metal and Ru, can lead Li+ to plate evenly around carbon fiber owing to the strong binding energy with Li+ . The Li-Ru@CC anode shows ultralong cycle life (1500 h at 5 mA cm-2 ). The full cell of Li-Ru@CC|LiFePO4 exhibits lower polarization (90% capacity retention after 650 cycles). In addition, sodium metal batteries based on Na-Ru@CC anodes can achieve similar improvement.

15.
Med Sci Monit ; 25: 7720-7727, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31611547

RESUMO

BACKGROUND Unbalanced standing and gait asymmetry are common in individuals with musculoskeletal disorders. Achieving symmetrical posture and gait is an important goal of rehabilitation. This study investigated the biomechanical differences in the lower extremities observed immediately after an insole was used and without the use of different one-sided insoles. MATERIAL AND METHODS Thirty young, healthy adult males received 3 different insole interventions: experimental group A had a customized 3-dimensional (3D)-printed single-sided lateral wedge insole (CLWI) inserted on the left side, and experimental group B had on the left side, a traditional single insert. The control had unilateral flat insoles; no insole inserted into the socks. Motion mechanics and gait parameters were collected at the 2-time points, after insertion of the insole and after 20 minutes of walking with the insole. RESULTS Asymmetric posture and gait appeared immediately after using the 2 insoles (lower joint moment, P<0.05). Compared with the control group, the abnormal posture and gait of experimental group B after wearing the traditional insole for 20 minutes were not obvious (P>0.05). However, the asymmetrical posture and gait remained in experimental group A after wearing the CLWI for 20 minutes (P<0.05). The center of pressure (COP) trajectory of the left foot of experimental group A was significantly higher than that of experimental group B and the control group at the 2-time points (P<0.05). CONCLUSIONS The asymmetry of posture and gait can be observed in a short time using a customized 3D-printed single-sided lateral wedge insole. This experiment provides guidance for the application of customized 3D-printed single-sided lateral wedge insoles for gait rehabilitation.

16.
Biomed Pharmacother ; 120: 109520, 2019 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-31629251

RESUMO

OBJECTIVE: To investigate the effect and underlying mechanism of Yougui pills (YGPs) on steroid-related osteonecrosis of the femoral head (SONFH). METHODS: Male New Zealand white rabbits were divided into three groups: control group, SONFH group and YGPs group. Rabbit SONFH was induced by methylprednisolone (MPS) combined with lipopolysaccharide (LPS). At 6 weeks post induction, the femoral heads were harvested for tissue analyses, including histopathology, mechanical test of femoral heads, micro-CT, tartrate-resistant acid phosphatase (TRAP) staining, and immunohistochemistry for osteocalcin (OCN), vascular endothelial growth factor (VEGF) and ß-catenin. Protein levels of cathepsin K (CTSK), phospho-glycogen synthase kinase-3 beta (p-Ser9 GSK-3ß) and total glycogen synthase kinase-3 beta (GSK-3ß) in femoral heads were also detected. Additionally, the serum TRAP activity was measured using enzyme-linked immunosorbent assay (ELISA). Finally, the effects of YGPs treatment on osteoclast differentiation and osteoblast formation were evaluated in vitro. RESULTS: The ratio of empty lacuna was markedly lower in YGPs group than SONFH group. Micro-CT evaluation indicated that YGPs has a preventive effect on bone loss in rabbit SONFH. YGPs treatment could suppress bone resorption by reducing TRAP+ osteoclast and serum TRACP5b levels in necrotic femoral heads. Moreover, YGPs treatment could promote bone formation by up-regulating the expression of OCN, VEGF and ß-catenin, while increasing load-bearing capacity of femoral heads. Interestingly, p-Ser9 GSK-3ß downregulation, and CTSK upregulation in necrotic femoral head could be reversed by YGPs treatment, which also effectively inhibited RANKL-induced osteoclast differentiation and promoted osteoblast formation in vitro. CONCLUSION: YGPs could suppress osteoclastogenesis and promote bone formation during SONFH in rabbits by activating ß-catenin.

17.
J Healthc Eng ; 2019: 5068283, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31662834

RESUMO

Motor imagery is one of the classical paradigms which have been used in brain-computer interface and motor function recovery. Finger movement-based motor execution is a complex biomechanical architecture and a crucial task for establishing most complicated and natural activities in daily life. Some patients may suffer from alternating hemiplegia after brain stroke and lose their ability of motor execution. Fortunately, the ability of motor imagery might be preserved independently and worked as a backdoor for motor function recovery. The efficacy of motor imagery for achieving significant recovery for the motor cortex after brain stroke is still an open question. In this study, we designed a new paradigm to investigate the neural mechanism of thirty finger movements in two scenarios: motor execution and motor imagery. Eleven healthy participants performed or imagined thirty hand gestures twice based on left and right finger movements. The electroencephalogram (EEG) signal for each subject during sixty trials left and right finger motor execution and imagery were recorded during our proposed experimental paradigm. The Granger causality (G-causality) analysis method was employed to analyze the brain connectivity and its strength between contralateral premotor, motor, and sensorimotor areas. Highest numbers for G-causality trials of 37 ± 7.3, 35.5 ± 8.8, 36.3 ± 10.3, and 39.2 ± 9.0 and lowest Granger causality coefficients of 9.1 ± 3.2, 10.9 ± 3.7, 13.2 ± 0.6, and 13.4 ± 0.6 were achieved from the premotor to motor area during execution/imagination tasks of right and left finger movements, respectively. These results provided a new insight into motor execution and motor imagery based on hand gestures, which might be useful to build a new biomarker of finger motor recovery for partially or even completely plegic patients. Furthermore, a significant difference of the G-causality trial number was observed during left finger execution/imagery and right finger imagery, but it was not observed during the right finger execution phase. Significant difference of the G-causality coefficient was observed during left finger execution and imagery, but it was not observed during right finger execution and imagery phases. These results suggested that different MI-based brain motor function recovery strategies should be taken for right-hand and left-hand patients after brain stroke.

18.
Med Sci Monit ; 25: 7175-7181, 2019 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-31549689

RESUMO

BACKGROUND 3D-printed insoles are widely used. This study was conducted to test a customized three-dimensional (3D)-printed heel support insole based on arch lift and to investigate whether the pressure distribution on the sole was improved while maintaining foot function. MATERIAL AND METHODS The design was based on a 3D plantar contour scanning modeling technique. Thirty healthy male participants walked along a 10-m track under 3 self-controlled interventions. A customized 3D-printed heel support insole based on arch lift was inserted into the socks for the experimental condition A. For condition B, a customized 3D-printed heel-supporting insole was inserted into the socks, and a standardized pre-made heel-supporting insole was inserted into the socks as a control (condition C). We used the Footscan® pressure plate to measure the plantar parameters in the forefoot contact and foot flange phases in each condition. RESULTS Compared with condition B and the control condition, the peak pressure under the heel was significantly lower in condition A (P<0.05), and the peak pressure in the midfoot region was not significantly increased (P>0.05). CONCLUSIONS The biomechanical properties of the customized 3D-printed heel support are better than those of the traditional heel support insole, especially when there is a need for an additional increase in heel height. Patients do not decrease midfoot motion function while using this customized insole.

19.
PLoS One ; 14(9): e0223167, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31557255

RESUMO

The capture precision of the free surface of an open-channel with a water-air interface directly affects the calculation precision of flow field characteristics and general characteristics of the flow. Significant research effort has been devoted to Level Set since its creation, although the relevant research is mainly limited to bubble or droplet movement. In this paper, Level Set method is applied to a two-dimensional numerical simulation of open-channel turbulence, while a new numerical model is proposed and multispot synchronized experimental data are applied to the validation of numerical model. In addition, the model is used to study the flow field characteristics and general characteristics of open-channel flow, which have a water-level lowering curve. The study shows that (1) a semilogarithm zone of vertical distribution of longitudinal velocity is still present amid the transition of flow from nonuniform to uniform, and the depth-averaged velocity and wall shear stress increase along the flowing path. (2) both the energy loss coefficient and roughness coefficient of the flow at nonuniform flow region are greater than the respective values at uniform flow region, and the magnitude of the deviation is relevant to the magnitude of the flow deviation from uniform flow stage.

20.
EMBO Mol Med ; 11(10): e10168, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31475771

RESUMO

Accurate risk stratification for patients with stage II/III colon cancer is pivotal for postoperative treatment decisions. Here, we aimed to identify and validate a circRNA-based signature that could improve postoperative prognostic stratification for these patients. In current retrospective analysis, we included 667 patients with R0 resected stage II/III colon cancer. Using RNA-seq analysis of 20 paired frozen tissues collected postoperation, we profiled differential circRNA expression between patients with and without recurrence, followed by quantitative validation. With clinical information, we generated a four-circRNA-based cirScore to classify patients into high-risk and low-risk groups in the training cohort. The patients with high cirScores in the training cohort had a shorter disease-free survival (DFS) and overall survival (OS) than patients with low cirScores. The prognostic capacity of the classifier was validated in the internal and external cohorts. Loss-of-function assays indicated that the selected circRNAs played functional roles in colon cancer progression. Overall, our four-circRNA-based classifier is a reliable prognostic tool for postoperative disease recurrence in patients with stage II/III colon cancer.

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