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1.
Clin Pharmacol Drug Dev ; 11(2): 165-172, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34453416

RESUMO

Tadalafil is an effective, reversible, and competitive phosphodiesterase 5 inhibitor mainly used to treat erectile dysfunction. This study investigated the bioequivalence of generic and marketed formulations of 10-mg tadalafil tablets under fasted and fed conditions. This open-label, randomized, single-dose, 2-period crossover study included 53 healthy Chinese men (aged 20-43 years). Plasma samples were collected from 0.5 hours before treatment to 72 hours after each dose and analyzed using ultra-high-performance liquid chromatography coupled with tandem mass spectrometry. Pharmacokinetic parameters were calculated using noncompartmental analysis. Safety assessments were performed throughout the study. For the fasted state, the 90% confidence intervals of the geometric mean ratios between the generic and marketed formulations were 86.1% to 99.1% for the maximum plasma concentration and 88.4% to 100.3% for the area under the plasma concentration-time curve from time 0 to infinity, and the corresponding values under the fed state were and 99.9% to 108.4% and 95.7% to 104.3%, respectively. All data were within the accepted bioequivalence range of 80% to 125%. After consuming high-fat, high-calorie meals in the fed condition, the time to the maximum plasma concentration was similar between the formulations, and area under the plasma concentration-time curve from time 0 to infinity and maximum plasma concentration were 10.2% and 6.55% higher, respectively, for the marketed formulation. Thus, food had no clinically relevant effect on tadalafil exposure following a single oral dose in healthy Chinese men. No serious adverse reactions were reported. These results indicated that the analyzed generic and marketed tadalafil tablets were bioequivalent with similar safety profiles.


Assuntos
Jejum , Adulto , China , Estudos Cross-Over , Humanos , Masculino , Comprimidos , Tadalafila/efeitos adversos , Equivalência Terapêutica , Adulto Jovem
2.
Front Cardiovasc Med ; 9: 821317, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35548408

RESUMO

Objective: Neuraminidase 1 (NEU1) participates in the response to multiple receptor signals and regulates various cellular metabolic behaviors. Importantly, it is closely related to the occurrence and progression of cardiovascular diseases. Because ischemic heart disease is often accompanied by impaired mitochondrial energy metabolism and oxidative stress. The purpose of this study was to investigate the functions and possible mechanisms of NEU1 in myocardial remodeling and mitochondrial metabolism induced by myocardial infarction (MI). Methods: In this study, the MI-induced mouse mode, hypoxia-treated H9C2 cells model, and hypoxia-treated neonatal rat cardiomyocytes (NRCMs) model were constructed. Echocardiography and histological analysis were adopted to evaluate the morphology and function of the heart at the whole heart level. Western blot was adopted to determine the related expression level of signaling pathway proteins and mitochondria. Mitochondrial energy metabolism and oxidative stress were detected by various testing kits. Results: Neuraminidase 1 was markedly upregulated in MI cardiac tissue. Cardiomyocyte-specific NEU1 deficiency restored cardiac function, cardiac hypertrophy, and myocardial interstitial fibrosis. What is more, cardiomyocyte-specific NEU1 deficiency inhibited mitochondrial dysfunction and oxidative stress induced by MI. Further experiments found that the sirtuin-1/peroxisome proliferator-activated receptor γ coactivator α (SIRT1/PGC-1α) protein level in MI myocardium was down-regulated, which was closely related to the above-mentioned mitochondrial changes. Cardiomyocyte-specific NEU1 deficiency increased the expression of SIRT1, PGC-1α, and mitochondrial transcription factor A (TFAM); which improved mitochondrial metabolism and oxidative stress. Inhibition of SIRT1 activity or PGC-1α activity eliminated the beneficial effects of cardiomyocyte-specific NEU1 deficiency. PGC-1α knockout mice experiments verified that NEU1 inhibition restored cardiac function induced by MI through SIRT1/PGC-1α signaling pathway. Conclusion: Cardiomyocyte-specific NEU1 deficiency can alleviate MI-induced myocardial remodeling, oxidative stress, and mitochondrial energy metabolism disorder. In terms of mechanism, the specific deletion of NEU1 may play a role by enhancing the SIRT1/PGC-1α signaling pathway. Therefore, cardiomyocyte-specific NEU1 may provide an alternative treatment strategy for heart failure post-MI.

3.
Ying Yong Sheng Tai Xue Bao ; 33(4): 1137-1144, 2022 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-35543070

RESUMO

As the most important domestic fish in the Antarctic Ocean, Antarctic toothfish (Dissostichus mawsoni) has an important ecological role and high commercial value. The otolith morphology of fish species differs across stages of life history. Therefore, otolith shape analysis can be used to infer life history of D. mawsoni. In this study, otoliths from 120 D. mawsoni individuals with four life stages randomly collected from the Ross Sea, Amundsen Sea, Weddell Sea and Lazarev Sea were used to analyze the otolith morphological differences of D. mawsoni at life stages by conventional measurement and elliptical Fourier analysis. The results showed that variation in otolith morphology occurred across life stages. Generally, the morphology of otolith was changed from smooth and low comple-xity to zigzagging and high complexity. The growth rate of otolith along the longitudinal direction was lower than that along the transverse direction. The characteristic parts of otolith, such as antirostrum, changed significantly across life stages. Compared to the linear discriminant analysis (71.9%), the elliptical Fourier analysis had the higher discrimination rate (85.4%), indicating that the elliptical Fourier analysis was more suitable to analyze the otolith morphology of D. mawsoni.


Assuntos
Membrana dos Otólitos , Perciformes , Animais , Regiões Antárticas , Peixes
4.
Environ Int ; 165: 107282, 2022 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-35597112

RESUMO

Metformin is the most widely used drug to treat type 2 diabetes. Monitoring spatial patterns of metformin use could provide new insights into treatment of type 2 diabetes and the distribution among populations. This study applied a wastewater-based epidemiological (WBE) approach to estimate metformin use in different populations across Australia and compared these estimates with traditional approaches of surveys and prescription data. Twenty-four-hour influent samples were collected from 75 wastewater treatment plants (WWTPs) across Australia in 2016 and analysed for metformin. Metformin was detected in all samples ranging in concentration from 8.2 to 191 µg/L (median 58 µg/L). Concentrations were converted to population-weighted average consumption at the national level, resulting in an average consumption of 28.6 g/day/1000 people across Australia, which was within 7% of estimates from national prescription statistics. In addition, results for five out of seven states had an estimated prevalence of type 2 diabetes within 20% compared to the traditional epidemiology surveys. Spatial patterns were also observed between urban and rural settings, with higher consumption rates of metformin found in Major Cities (22.5 ± 10.9 g/d/1000 people) and Inner Regional cities (25.4 ± 13.4 g/d/1000 people) than in Outer Regional (17.0 ± 8.1 g/d/1000 people) and Remote areas (15.1 ± 7.4 g/d/1000 people). Consumption estimates were also correlated against socioeconomic factors of the specific catchment areas. Greater metformin use was correlated with populations of lower education and income levels, while positive correlations were found between metformin consumption and consumption of allopurinol, caffeine and venlafaxine. Our study provides more evidence on the distribution of metformin use across Australia, which can be used to develop public health strategies to reduce the overall burden of type 2 diabetes in specific regions.

5.
PLoS One ; 17(5): e0268472, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35609085

RESUMO

BACKGROUND: Economically underdeveloped areas in western China are hotspots of tuberculosis, especially among students. However, the related spatial and temporal patterns and influencing factors are still unclear and there are few studies to analyze the causes of pulmonary tuberculosis in students from the perspective of space. METHODS: We collected data regarding the reported incidence of pulmonary tuberculosis (PTB) among students at township level in Nanning, from 2012 to 2018. The reported incidence of pulmonary tuberculosis among students in Nanning was analyzed using spatial autocorrelation and spatial scan statistical analysis to depict hotspots of PTB incidence and spatial and temporal clustering. Spatial panel data of the reported incidence rates and influencing factors at district and county levels in Nanning were collected from 2015 to 2018. Then, we analyzed the spatial effects of incidence and influencing factors using the spatial Durbin model to explore the mechanism of each influencing factor in areas with high disease prevalence under spatial effects. RESULTS: From 2012 to 2018, 1609 cases of PTB were reported among students in Nanning, with an average annual reported incidence rate of 14.84/100,000. Through the Joinpoint regression model, We observed a steady trend in the percentage of cases reported each year (P>0.05). There was spatial autocorrelation between the annual reported incidence and the seven-years average reported incidence from 2012 to 2018. The high-incidence area was distributed in the junction of six urban areas and spread to the periphery, with the junction at the center. The population of college students, per capita financial expenditure on health, per capita gross domestic product, and the number of health technicians per 1,000 population were all influencing factors in the reported incidence of PTB among students. CONCLUSION: We identified spatial clustering of the reported incidence of PTB among students in Nanning, mainly located in the urban center and its surrounding areas. The clustering gradually decreased from the urban center to the surrounding areas. Spatial effects influenced the reported incidence of PTB. The population density of college students, per capita health financial expenditure, gross domestic product (GDP) per capita, and the number of health technicians per 1,000 were all influencing factors in the reported incidence of PTB among students.

6.
J Pharm Biomed Anal ; 216: 114812, 2022 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-35526334

RESUMO

We developed a novel approach to analyze multiple DNA targets based on microdroplet PCR coupled with denaturing gradient gel electrophoresis (MPDG) to achieve high-throughput detection of biological samples. The target DNAs were preamplified using specific primers. Subsequently, the preamplified products were separated into individual microreactors for parallel amplification with high efficiency, avoiding the interference of different primers and templates, and preventing inconsistent amplification efficiency and non-specific amplification. The final products were analyzed using denaturing gradient gel electrophoresis (DGGE). Using genetically modified (GM) maize as samples, the MPDG method could be used for the simultaneous detection of three DNA targets with an absolute limit of detection of 0.5% (w/w), with no cross reaction with other non-GM samples. The simulated sample assay of MPDG suggested that the method is suitable for practical application. The MPDG approach, with high sensitivity and specificity, could play a crucial role in the field of nucleic acid detection.

7.
Zhongguo Zhong Yao Za Zhi ; 47(7): 1754-1764, 2022 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-35534246

RESUMO

Astragali Radix, a medicinal herb for invigorating Qi, has anti-aging, anti-tumor, immunoregulatory, blood sugar-and lipid-lowering, anti-fibrosis, anti-radiation and other pharmacological effects. This article reviewed the studies about the chemical components and pharmacological effects of Astragali Radix. According to the theory of quality markers(Q-markers) of Chinese medicinal materials, we predicted the Q-markers of Astragali Radix from traditional efficacy, chemical component validity, measurability, plant phylogeny, and pharmacokinetis. The results showed that total polysaccharides, flavonoids(e.g., calycosin-7-O-ß-D-glucoside, formononetin, calycosin, quercetin, and ononin), and saponins(e.g., astragalosides Ⅱ, Ⅲ, and Ⅳ) can be taken as the main Q-markers. This review lays a foundation for regulating the quality research and standard establishment of Astragali Radix, and benefits the control and quality supervision of the production process of Astragali Radix and its related products.


Assuntos
Astrágalo (Planta) , Medicamentos de Ervas Chinesas , Cromatografia Líquida de Alta Pressão/métodos , Medicamentos de Ervas Chinesas/farmacologia , Flavonoides , Raízes de Plantas
8.
Nat Neurosci ; 25(5): 577-587, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35524140

RESUMO

Recent studies have demonstrated that brain meningeal lymphatic vessels (MLVs) act as a drainage path directly into the cervical lymph nodes (CLNs) for macromolecules contained in the cerebrospinal fluid (CSF). However, the role of MLVs during CNS viral infection remains unexplored. Here, we found that infection with several neurotropic viruses in mice promotes MLV expansion but also causes impaired MLV-mediated drainage of macromolecules. Notably, MLVs could drain virus from the CNS to CLNs. Surgical ligation of the lymph vessels or photodynamic ablation of dorsal MLVs increased neurological damage and mortality of virus-infected mice. By contrast, pretreatment with vascular endothelial growth factor C promoted expansion of functional MLVs and alleviated the effects of viral infection. Together, these data indicate that functional MLVs facilitate virus clearance, and MLVs represent a critical path for virus spreading from the CNS to the CLNs. MLV-based therapeutic strategies may thus be useful for alleviating infection-induced neurological damage.


Assuntos
Sistema Nervoso Central , Sistema Glinfático , Vírus , Animais , Camundongos , Fator C de Crescimento do Endotélio Vascular
9.
Eur J Med Chem ; 238: 114469, 2022 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-35605360

RESUMO

As one of the most important features of myocardial ischemia reperfusion (MI/R) injury, the overproduction of reactive oxygen species (ROS) overwhelms the intrinsic antioxidant and impairs the function of mitochondria and, finally, leads to cardiomyocyte death. To improve the damage of cardiomyocyte caused by oxidative stress, a series of α-carboline derivatives were designed and synthesized in this study. The biological studies revealed that most of the α-carbolines exhibited obvious protective activities against H2O2-induced cardiomyocyte injury. Among them, compound 14b significantly increased the cell viability in H2O2-induced oxidative stress in H9c2 cardiomyoblasts with a concentration-dependent manner, which was more potent than polydatin. Pretreatment of 14b obviously inhibited H2O2-induced lactate dehydrogenase (LDH) leakage, enhanced the capacity of endogenous antioxidant defenses, including superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px), and reduced the formation of the toxic product of lipid peroxidation (malondialdehyde, MDA). In addition, 14b effectively reduced the overproduction of ROS and restored the mitochondrial membrane potential ΔΨm, better than that of polydatin. Flow cytometry analysis demonstrated that 14b markedly reduced both necrosis and apoptosis in H9c2 cells after the exposure to H2O2. Further Western blot analysis revealed that 14b obviously decreased the ratio of Bax/Bcl-2 and reduced the expression of cytochrome c. Overall, these results revealed the potential of α-carboline 14b as a promising cardioprotective agent against H2O2-induced oxidative injury.

10.
J Colloid Interface Sci ; 623: 155-167, 2022 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-35576647

RESUMO

There is an urgent need to develop photosensitive nanoenzymes with better phototherapeutic efficiency through simple processes. By exploiting semiconductor catalysis and defect chemistry principles, herein, a MnMoOx composite semiconductor nanoenzyme was developed to achieve a fully integrated theranostic nanoenzyme for highly efficient photo/chemo-enzyme-dynamic eradication of deep tumors. Relative to iron oxides, manganese oxides offer ideal catalytic performance under near-neutral conditions, which helps to broaden the suitable pH range of the MnMoOx nanoenzyme for antitumor therapy. Furthermore, with the assistance of glutathione depletion, Mn4+/Mo6+ was successfully converted to Mn2+/Mo5+, inhibiting the scavenging of reactive oxygen species (ROS) and promoting cycling. Therefore, MnMoOx has favorable catalase (CAT)-like activity and oxidase (OXD)-like activity in the tumor microenvironment (TME) for promoting the "H2O2O2O2-" and "H2O2OH" cascade reactions. The abundant oxygen vacancy defects also promote the surface plasmon resonance (SPR) effect in the second near-infrared (NIR-II) window of MnMoOx, which significantly enhanced its photothermal therapy (PTT) effect and catalytic activity. In detail, ROS production was significantly enhanced due to the adsorption of water and oxygen molecules by the rich oxygen vacancies of MnMoOx. MnMoOx also exhibited excellent multi-modal imaging activity (including computed tomography (CT), magnetic resonance imaging (MRI), and photoacoustic (PA)), which can be exploited to better guide the administration of medication.

11.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi ; 39(5): 534-536, 2022 May 10.
Artigo em Chinês | MEDLINE | ID: mdl-35598273

RESUMO

OBJECTIVE: Utilize high-resolution chromosome analysis and microarray detection to determine the genetic etiology of infertility of a 32-year old female patient. METHODS: The peripheral blood of the patient was cultured for high-resolution chromosome G and C banding karyotype analysis, and then 750K SNP-Array chip detection was performed. RESULTS: Karyotype analysis results showed that the patient's karyotype was 45,XX,-13 [7]/46,XX,r(13) (p13q34) [185]/46,XX,dic r(13;13)(p13q34;p13q34) [14]/ 47,XX,+der(13;13;13;13) (p13q34;p13q34;p13q34; p13q34), dic r(13;13) [1]/ 46,XX [3]. The microarray results showed that the patient had a 3.3 Mb deletion in the 13q34 segment of chromosome 13, which may be related to infertility. CONCLUSION: Infertility of the patient reported in this article may be related to the deletion of chromosome segment (13q34-qter).


Assuntos
Transtornos Cromossômicos , Infertilidade , Cromossomos em Anel , Adulto , Quimera , Bandeamento Cromossômico , Deleção Cromossômica , Transtornos Cromossômicos/genética , Dacarbazina , Feminino , Humanos , Infertilidade/genética
12.
Trials ; 23(1): 369, 2022 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-35505379

RESUMO

BACKGROUND: The prevalence of hypertension is increasing worldwide. Hypertension self-management usually involves the application and consideration of oral, written, or quantitative information. Hypertensive patients in China have limited high blood pressure health literacy (HBP-HL), which may lead to poorer clinical outcomes. This study aims to determine the feasibility and effectiveness of an interactive pictorial health education program based on behavior change wheel (BCW) theory and its effect on HBP-HL, self-efficacy, self-management ability, and health-related quality of life (HRQOL) in hypertensive patients with low HBP-HL. METHODS: This study is a randomized controlled trial (RCT). One of the municipal districts in Huzhou, China, will be randomly selected, and two communities with similar conditions within this district will be screened and selected. A total of 120 hypertensive patients aged 18 years and older will be recruited from these two community settings. One of the communities will be randomly allocated to an interactive pictorial health education program conducted by a comprehensive health literacy strategy that includes (i) training participants in effective health communication skills that address issues encountered in seeking medical care and (ii) the use of self-developed interactive pictorial hypertension education to improve patient understanding and behaviors versus a control group (routine community lecture health education only). The primary outcome measure is HBP-HL. Secondary outcomes are self-efficacy, self-management ability, HRQOL, social support, and improvement in blood pressure. Outcomes will be collected at 6, 9, and 12 months from trial entry. DISCUSSION: The strengths of this study are the establishment of a new health management program for hypertensive patients that closely combines BCW theory and health literacy. This trial has the potential to improve HBP-HL in hypertensive Chinese patients with low health literacy to improve the self-management of hypertension and help control blood pressure. TRIAL REGISTRATION: Clinical Trials.gov Protocol Registration and Results System ID NCT04327102 . Prospectively registered on February 29, 2020.


Assuntos
Letramento em Saúde , Hipertensão , Hipotensão , Pressão Sanguínea , Comportamentos Relacionados com a Saúde , Humanos , Hipertensão/diagnóstico , Hipertensão/terapia , Ensaios Clínicos Controlados Aleatórios como Assunto
13.
Front Immunol ; 13: 725595, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35371096

RESUMO

Hepatocellular carcinoma (HCC) is one of the most common digestive system cancers (DSCs) with a poor prognosis. Zinc-regulated transporter (ZRT)/iron-regulated transporter (IRT) like protein transporters (ZIPs) encode membrane transport proteins, which are responsible for the absorption of zinc and play important roles in the pathogenesis of various human cancers. Tumor-associated macrophages (TAMs) are important participants in the regulation of tumor microenvironment and the development of HCC. Individual role of each ZIP involved in hepatocarcinogenesis remains elusive. In this study, the transcription patterns of ZIPs in the DSCs were screened firstly through GEPIA2 database. Interestingly, the analysis of the DSCs data showed the distinct mRNA levels of ZIPs between DSCs tissues and healthy controls. Notably, the transcription levels of ZIP2, ZIP5, ZIP8, ZIP9 and ZIP14 were decreased significantly in the tissues of human liver cancer compared to paracarcinoma liver tissues. To further confirm the mRNA transcriptional changes of Zips in HCC, N-Nitrosodiethylamine (DEN) combined with carbon tetrachloride (CCl4) inducing mouse model of HCC were established. Consistently, the mRNA levels of Zip2, Zip9, and Zip14 in liver tissues of HCC induced mice were also decreased compared with the healthy controls. In addition, mouse peritoneal elucidated macrophages (PEMs)-derived M1/M2 macrophages in vitro, as well as human patients of HCC-derived TAMs, were used to examine the transcription levels of ZIPs. Our results showed that both Zip2 and Zip9 were up-regulated in M2-polarized macrophages. Zip2 transcript was also up-regulated M1-polarized macrophages, but Zip9 was slightly down-regulated. TAMs generated from human liver cancer tissues also displayed a decrease in ZIP9 transcription compared to paracarcinoma tissues. To further explore the role of Zip9 in M1/M2 polarization, the siRNA knockdown results revealed that Zip9, but not Zip2, could promote M2 macrophage polarization and impair M1 macrophage polarization. Mechanistically, Zip9 enhances phosphorylated STAT6 to promote M2 macrophage polarization but suppresses the phosphorylation of IκBα/ß to inhibit M1 macrophage polarization. Together, our results indicate that ZIP9 may involve in macrophages polarity in HCC development and may be a potent new biomarker for the diagnosis of HCC.


Assuntos
Carcinoma Hepatocelular , Neoplasias Hepáticas , Animais , Carcinoma Hepatocelular/patologia , Linhagem Celular Tumoral , Humanos , Neoplasias Hepáticas/patologia , Macrófagos/metabolismo , Camundongos , RNA Mensageiro/metabolismo , Microambiente Tumoral/genética , Zinco/metabolismo
14.
J Mech Behav Biomed Mater ; 130: 105221, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35405521

RESUMO

Human tooth enamel is composed of enamel rods and surrounding inter-rod enamel. As the fundamental block of enamel, hydroxyapatite (HAP) nanofibers are mostly longitudinally aligned in the rods but inclined in the inter-rod enamel. The surface hardening of enamel by occlusal loading is reportedly a result of hydroxyapatite nanofiber fragmentation and rearrangement and plays an important role in the anti-wear performance of enamel, but little is known about the effect of HAP nanofiber orientation on enamel surface hardening. In this study, the occlusal loading-induced surface hardening behaviors of enamel at different zones (rod and inter-rod) and different orientations (occlusal and axial) were investigated in vitro using impact treatment and a nanoindentation technique, aiming to reveal the effect of nanofiber orientation on enamel surface hardening. It was found that surface hardening by occlusal loading occurs in the rod and inter-rod areas, but the former shows a greater hardening degree than the latter, leading to an increase in the mechanical heterogeneity of enamel surface. Under the same loading condition, the HAP nanofibers in the inter-rod enamel are more likely to tilt into transverse nanofibers than those in the rods. Compared with longitudinal nanofibers, transverse nanofibers fragment into more transverse crystal particles, but the transverse particles impair the compactness of the hardening layer and decrease its hardening degree. In sum, inherent non-uniform nanofiber orientation endows the enamel with the ability to undergo heterogeneous surface hardening upon occlusal loading, which is critical for providing and maintaining its surface mechanical heterogeneity. These findings extend the understanding of the relationship between microstructure and mechanical properties of dental enamel and provide valuable insights into the bionic design of engineering materials.


Assuntos
Nanofibras , Dente , Esmalte Dentário , Durapatita/química , Humanos
15.
Artigo em Inglês | MEDLINE | ID: mdl-35441715

RESUMO

BACKGROUND: More and more new ultrasound techniques with their own characteristics are applied in the differential diagnosis of thyroid nodules. This study amied to assess and compare the diagnostic value of the Demetics ultrasound-assisted diagnosis system and contrast-enhanced ultrasound (CEUS) combined with the Thyroid Image Reporting and Data Systems (TI-RADS) for thyroid nodules. DESIGN AND PATIENTS: A total of 600 thyroid nodules with pathological findings were retrospectively analysed. Demetics and CEUS were performed for all nodules. The diagnostic efficacy of Demetics and CEUS for nodules of different sizes was evaluated and compared in terms of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (LR+) and negative likelihood ratio (LR-). The characteristics of nodules diagnosed and misdiagnosed by Demetics were compared to analyse the factors affecting the diagnostic accuracy of Demetics. The necessity of CEUS for nodules that are prone to misdiagnosis in Demetics was assessed. RESULTS: Both Demetics and CEUS can be used for the differential diagnosis of benign and malignant thyroid nodules of different sizes. The diagnostic agreement between Demetics and CEUS for thyroid nodules of different sizes was moderate, substantial and fair, respectively. The sensitivity and NPV of Demetics were higher than those of CEUS, and the specificity, PPV and LR+ of CEUS were higher than that of Demetics. The LR- of Demetics was lower than those of CEUS. There were significant differences in age, calcification and margin in analysing the factors affecting Demetics. CEUS correctly diagnosed 50 of the 101 nodules misdiagnosed by Demetics. CONCLUSIONS: Demetics showed high sensitivity in diagnosing thyroid nodules, while CEUS showed high specificity. In clinical practice, CEUS can further improve the diagnostic accuracy for nodules that are easily misdiagnosed by Demetics.

16.
Materials (Basel) ; 15(8)2022 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-35454504

RESUMO

We propose and numerically investigate a multi-parameter integrated sensor based on a selectively filled D-shaped photonic crystal fiber (PCF). The simple structure can be used to comprehensively detect refractive index, magnetic field, temperature, and voltage. According to the surface plasmon resonance and directional coupling effect, the PCF is coated with a gold nano-film to detect the refractive index of the external environment. In addition, magnetic fluid (water-based Fe3O4), toluene, and nematic liquid crystal (NLC E7) are selectively filled into different cladding air holes of the D-shaped PCF to realize the different sensing of the magnetic field, temperature, and voltage. The measurement of refractive index, magnetic field, temperature, and voltage are independent of each other, so these four parameters can be measured simultaneously. The sensing characteristics of the proposed structure are investigated systematically by the finite element method. The results show that the sensitivities of refractive index, magnetic field, temperature, and voltage are 4600 nm/RIU, 1.375 nm/Oe, 15.143 nm/°C, and 0.971 nm/V, respectively. The presented design based on materials selectively filled with D-shaped PCF might enable promising application in multi-parameter optical sensing.

17.
Front Endocrinol (Lausanne) ; 13: 860413, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35399923

RESUMO

Objective: Boys with Duchenne muscular dystrophy (DMD) are at risk of bone damage and low bone mineral density (BMD). The aim of the study is to examine lumbar BMD values measured by QCT and identify the factors associated with BMD loss using a multilevel mixed-effects model. Methods: Lumbar BMD was evaluated by quantitative computed tomography (QCT) at diagnosis, 1 and 2 years follow up in patients with DMD who were treated with GC. Demographic data, functional activity scores (FMSs), laboratory parameters and steroid use were recorded. A multilevel mixed-effects model was used to analyze BMD loss. Results: Nineteen patients with DMD who had a total of sixty complete records between January 2018 and October 2021 were retrospectively analyzed. At baseline, 15.8% of patients (3/19) had low lumbar BMD (Z score ≤ -2), and the mean BMD Z score on QCT was -0.85 (SD 1.32). The mean BMD Z score at 1 and 2 years postbaseline decreased to -1.56 (SD 1.62) and -2.02 (SD 1.36), respectively. In our model, BMD Z score loss was associated with age (ß=-0.358, p=0.0003) and FMS (ß=-0.454, p=0.031). Cumulative GC exposure and serum levels of calcium, phosphorus, 25(OH)-vitamin D and creatinine kinase did not independently predict BMD loss. Conclusions: This study demonstrates that in DMD patients, lumbar BMD decreased gradually and progressively. Age and FMS are the main contributors to BMD loss in boys with DMD. Early recognition of risk factors associated with BMD loss may facilitate the development of strategies to optimize bone health.


Assuntos
Doenças Ósseas Metabólicas , Distrofia Muscular de Duchenne , Densidade Óssea , Doenças Ósseas Metabólicas/induzido quimicamente , Glucocorticoides/efeitos adversos , Humanos , Masculino , Distrofia Muscular de Duchenne/complicações , Distrofia Muscular de Duchenne/diagnóstico por imagem , Distrofia Muscular de Duchenne/tratamento farmacológico , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
18.
Chin J Integr Med ; 2022 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-35426052

RESUMO

BACKGROUND: Primary dysmenorrhea (PD) is the most common complaint associated with menstruation and affects up to three-quarters of women at some stage of their reproductive life. In Chinese medicine, navel therapy, treatment provided at Shenque (CV 8), is used as a treatment option for PD. OBJECTIVE: To evaluate the effect of navel therapy on pain relief and quality of life in women with PD, compared with Western medicine (WM). METHODS: China National Knowledge Infrastructure (CNKI), Chinese Scientific Journal Database (VIP), SinoMed and Wanfang Database, MEDLINE, the Cochrane Library, Embase, Web of Science, and the International Clinical Trial Registry of the U.S. National Institutes of Health were searched from their inceptions to April 1, 2021. Randomized controlled trials (RCTs) assessing therapeutic effects of navel therapy on PD were eligible for inclusion. RevMan 5.4 software was used for data analyses. The certainty of the evidence was assessed using the online GRADEpro tool. RESULTS: Totally 24 RCTs involving 2,614 participants were identified. Interventions applied to acupuncture point CV 8 included: herbal patching, moxibustion or combined navel therapy (using at least 2 types of stimulation). Compared to placebo, there was a significant effect in favor of navel therapy on reducing overall menstrual symptom scores at the end of treatment [mean difference: -0.82, 95% confidence interval (CI): -1.00 to -0.64, n=90; 1 RCT]. As compared with Western medicine, navel therapy had a superior effect on pain intensity as assessed by Visual Analogue Scale at the end of treatment [standardized mean difference (SMD): -0.64, 95% CI: -1.22 to -0.06, I2=80%, n=262; 3 RCTs]; on symptom resolution rate at 3-month follow-up (risk ratio: 1.94, 95% CI: 1.47 to 2.56, n=1527, I2=38%; 13 RCTs); and on global menstrual symptoms score at the end of treatment (SMD: -0.67, 95% CI: -0.90 to -0.45, I2=63%, n=990; 12 RCTs). Subgroup analyses showed either a better or an equivalent effect comparing navel therapy with Western medicine. No major adverse events were reported. The methodological quality of included trials was poor overall. CONCLUSIONS: Navel therapy appears to be more effective than Western medicine in decreasing menstrual pain and improving overall symptoms of PD. However, these findings need to be confirmed by well-designed clinical trials with adequate sample size (Systematic review registration at PROSPERO, No. CRD42021240350).

19.
Dalton Trans ; 51(17): 6817-6824, 2022 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-35437557

RESUMO

We have developed a multifunctional hydrogel dressing (denoted as dressing-2 : 1) using silver-doped yolk-like nickel sulfide (Ag(8.5%)@NiS2-x), polyacrylamide (PAM), and chitosan (CS). Ag(8.5%)@NiS2-x has tremendous potential in antibacterial applications mainly due to the following advantages: (i) it has excellent optical absorption in the 200-2500 nm range and can be combined with near-infrared laser for photothermal therapy; (ii) it possesses peroxidase characteristic, which can catalyze low-concentration hydrogen peroxide to produce highly effective bactericidal hydroxyl radicals; (iii) silver doping gives it the ability to destroy the inherent components of bacteria. Moreover, the PAM/CS hydrogel can adsorb both bacteria and inflammatory secretions, enhancing the sterilization ability of Ag(8.5%)@NiS2-x and promoting tissue healing. Our work highlights the great potential of dressing-2 : 1 as a multifunctional hydrogel dressing for effective antibacterial wound healing.


Assuntos
Quitosana , Hidrogéis , Antibacterianos/farmacologia , Bandagens , Quitosana/farmacologia , Hidrogéis/farmacologia , Prata , Cicatrização
20.
Sci Total Environ ; 835: 155351, 2022 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-35452734

RESUMO

GRSP is widely distributed in coastal wetlands, and there is a tendency for it to degrade with increasing burial depth. However, the dynamic changes in the chemical composition and stability of GRSP during the burial process are still unclear. The purpose of this study is to clarify the chemical composition and accumulation characteristics of GRSP during the burial process in the Zhangjiang estuary. In a field study, soil cores to the depth of 100 cm were collected in the estuary from mangrove forests dominated by Kandelia obovata and Avicennia marina, and from mudflat. The results showed that the concentration of GRSP in mangrove forest soil was significantly higher than that in the mudflat (p < 0.05), and the C/N ratio of GRSP increased with depth at all sites. Analysis of Fourier transform infrared (FTIR) data showed that the degradation rates of the GRSP's compositions varied with increasing burial depth, with microbial action and pH possibly being the main factors affecting degradation. Values of recalcitrance index (RI) showed that the stability of GRSP increased with increasing depth, and the contribution of GRSP to soil organic carbon (SOC) also increased. This suggests that the burial process plays a role in screening and storing the stable components of GRSP. Overall, our findings suggest that the concentration and chemical composition of GRSP vary dynamically according to habitat and burial processes. In addition, the improved stability of GRSP could contribute to carbon sequestration in coastal wetlands.

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