Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 452
Filtrar
1.
ASAIO J ; 2020 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-32243266

RESUMO

Severe cases of coronavirus disease 2019 (COVID-19) cannot be adequately managed with mechanical ventilation alone. The role and outcome of extracorporeal membrane oxygenation (ECMO) in the management of COVID-19 is currently unclear. Eight COVID-19 patients have received ECMO support in Shanghai with 7 with VV ECMO support and 1 VA ECMO during cardiopulmonary resuscitation. As of March 25, 2020, 4 patients died (50% mortality), three patients (37.5%) were successfully weaned off ECMO after 22, 40 days and 47 days support respectively, but remain on mechanical ventilation. One patient is still on VV ECMO with mechanical ventilation.The PaO2/FiO2 ratio before ECMO initiation were between 54 to 76 and all were well below 100. The duration of mechanical ventilation before ECMO ranged from 4-21 days. Except the one emergent VA ECMO during cardiopulmonary resuscitation, other patients were on ECMO support for between 18 to 47 days. In conclusion, ensuring effective, timely, and safe ECMO support in COVID-19 is key to improving clinical outcomes. ECMO support might be an integral part of the critical care provided for COVID-19 patients in centers with advanced ECMO expertise.

2.
Gut ; 2020 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-32241904

RESUMO

OBJECTIVE: Patients with renal failure suffer from symptoms caused by uraemic toxins, possibly of gut microbial origin, as deduced from studies in animals. The aim of the study is to characterise relationships between the intestinal microbiome composition, uraemic toxins and renal failure symptoms in human end-stage renal disease (ESRD). DESIGN: Characterisation of gut microbiome, serum and faecal metabolome and human phenotypes in a cohort of 223 patients with ESRD and 69 healthy controls. Multidimensional data integration to reveal links between these datasets and the use of chronic kidney disease (CKD) rodent models to test the effects of intestinal microbiome on toxin accumulation and disease severity. RESULTS: A group of microbial species enriched in ESRD correlates tightly to patient clinical variables and encode functions involved in toxin and secondary bile acids synthesis; the relative abundance of the microbial functions correlates with the serum or faecal concentrations of these metabolites. Microbiota from patients transplanted to renal injured germ-free mice or antibiotic-treated rats induce higher production of serum uraemic toxins and aggravated renal fibrosis and oxidative stress more than microbiota from controls. Two of the species, Eggerthella lenta and Fusobacterium nucleatum, increase uraemic toxins production and promote renal disease development in a CKD rat model. A probiotic Bifidobacterium animalis decreases abundance of these species, reduces levels of toxins and the severity of the disease in rats. CONCLUSION: Aberrant gut microbiota in patients with ESRD sculpts a detrimental metabolome aggravating clinical outcomes, suggesting that the gut microbiota will be a promising target for diminishing uraemic toxicity in those patients. TRIAL REGISTRATION NUMBER: This study was registered at ClinicalTrials.gov (NCT03010696).

3.
J Exp Bot ; 2020 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-32150619

RESUMO

Gene mutations conferring herbicide resistance are hypothesized to have negative pleiotropic effects on plant growth and fitness, which may in turn determine the evolutionary dynamics of herbicide resistance alleles. We used the widespread, annual, diploid grass weed Alopecurusaequalis as a model species to investigate the effect of two resistance mutations-the rare Pro-197-Tyr mutation and the most common Trp-574-Leu mutation-on acetolactate synthase (ALS) functionality and plant growth. We characterized the enzyme kinetics of ALS from two purified A. aequalis populations, each homozygous for the resistance mutation 197-Tyr or 574-Leu, and assessed the pleiotropic effects of these mutations on plant growth. Both mutations reduced sensitivity of ALS to ALS-inhibiting herbicides without significant changes in extractable ALS activity. The 197-Tyr mutation slightly decreased the substrate affinity (corresponding to an increased Km for pyruvate) and maximum reaction velocity (Vmax) of ALS, whereas the 574-Leu mutation significantly increased these kinetics. Significant decrease or increase in plant growth associated, respectively, with the 197-Tyr and 574-Leu resistance mutations was highly correlated with their impact on ALS kinetics, suggesting more likely persistence of the 574-Leu mutation than the 197-Tyr mutation if herbicide application is discontinued.

4.
J Dermatol ; 47(4): 348-355, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32012364

RESUMO

Pulsed dye laser-resistant port-wine stains present a therapeutic challenge. The aim of this study was to evaluate the efficacy and safety of photodynamic therapy for treating these lesions. A total of 67 patients with pulsed dye laser-resistant cervicofacial port-wine stains were retrospectively assessed after undergoing photodynamic therapy mediated with a combination of hemoporfin and 532-nm light. For objective evaluation of photodynamic therapy efficacy, first, the colorimetric changes in the port-wine stain lesions were evaluated according to the L*a*b* color coordinate system, then the values of color changes (ΔE) and blanching rate were calculated. For subjective evaluation of improvement, photographs taken before and after photodynamic therapy were evaluated by three independent assessors blindly. Patient satisfaction was also used as a factor in the subjective evaluation. Adverse events were recorded after treatment. The median ΔE decreased significantly from the pretreatment value of 13.42 to 9.90 at the 2-month follow up (P < 0.001). The median blanching rate of port-wine stains was 28.04% after an average of 1.21 sessions of photodynamic therapy. Based on the overall visual assessment, 46.2% patients showed excellent or good levels of improvement (>50% color blanching). Adverse events were minimal, transient and self-limiting. In conclusion, photodynamic therapy serves as an alternative means to treat pulsed dye laser-resistant port-wine stains.

5.
Chemosphere ; 248: 125915, 2020 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-32007770

RESUMO

Herbicide-polluted soils have posed a threat to the crop growth and agro-product quality and safety. Even worse, the low-content of residue is still appreciable for a long time in subsurface soils. The soil bioelectrochemical remediation system (BERS) provides an inexhaustible electron acceptor to cause in situ indigenous microorganisms to generate biocurrent and accelerate the removal of metolachlor (ML). As a result of carbon fiber amendment, the highest current density (637 ± 19 mA/m2) to date has been generated in a soil BERS. The ML half-life and complete removal time decreased from 21 to 3 d and from 245 to 109 d, respectively. Importantly, the soil BERS was verified to be an effective treatment method for low-polluted sediments/soils, whether by ML or by its degradates. The quantitative degradates of ML showed that the first step was dechlorination based on the bioelectrochemical degradation pathway. The biocurrent selectively enriched special species, e.g., Geobacter and Thermincola for bioelectricity generation and Ralstonia, Phyllobacterium and Stenotrophomonas for degradation in soils. Meanwhile, Flavisolibacter and Gemmatimonas occupied the core niche in strengthening interspecific relationships by the biocurrent. This study firstly revealed the explicit abundance of Geobacter in agricultural soils and laid a foundation for the function design of mixed bacteria in the sediment/soil BERS.

6.
Medicine (Baltimore) ; 99(5): e18531, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32000361

RESUMO

The aim of the study was to investigate the incidence of low-energy fracture of wrist, hip, and spine and the related risk factors in Chinese populations 50 years or older.This study was a part of the Chinese National Fracture Survey (CNFS) carried out in 8 Chinese provinces in 2015. Data on 154,099 Chinese men and women 50 years or older were extracted from the CNFS database for calculations and analyses. Low-energy fracture was defined as fracture caused by slip, trip, or falls from standing height.A total of 247 patients sustained low-energy fractures in 2014, indicating the incidence rate was 160.3/100,000 person-years, with 120.0 [95% confidence interval (CI), 95.5-144.5] and 213.1(95% CI, 180.7-245.6)/100,000 person-years in men and women, respectively. In men, advanced age, alcohol consumption, residence at second floor or above without elevator, sleep duration <7 h/day, and history of past fracture were identified to be significant risk factors for low-energy fractures. In women, advanced age, living in east region, higher latitude zone (40°N -49.9°N), alcohol consumption, more births, sleep duration <7 h/day, and history of past fracture were identified as significant risk factors. Supplementation of calcium or vitamin D or both was identified to be associated with reduced risk of fracture in women (odds ratio, 0.38; 95% CI, 0.20-0.75), but not in men.These epidemiologic data on low-energy fractures provided updated clinical evidence base for national healthcare planning and preventive efforts in China. Corresponding interventions such as decreasing alcohol consumption and sleep improvement should clearly be implemented. For women, especially those with more births and past history of fracture, routine screening of osteoporosis, and intensive nourishment since menopause should be advocated.


Assuntos
Fraturas do Quadril/epidemiologia , Fraturas da Coluna Vertebral/epidemiologia , Traumatismos do Punho/epidemiologia , Idoso , Idoso de 80 Anos ou mais , China/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
7.
Redox Biol ; : 101444, 2020 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-32067910

RESUMO

OBJECTIVE: Cellular repressor of E1A-stimulated genes (CREG), a vasculoprotective molecule, is significantly downregulated in atherosclerotic vessels through unclear mechanisms. While epigenetic regulation is involved in atherosclerosis development, it is not known if the CREG gene is epigenetically regulated. The aim of this study was to assess the potential role of CREG methylation in contributing to atherosclerosis. APPROACH AND RESULTS: Overexpression of DNA methyltransferase (DNMT)3B significantly inhibited CREG expression in human umbilical vein endothelial cells (HUVECs) and human coronary aortic endothelial cells (HCAECs).Conversely, inhibition of DNA methylation with 5-aza-2'-deoxycytidine (5-aza-dC) dose-dependently increased CREG expression. A CREG promoter analysis identified +168 to +255 bp as a key regulatory region and the CG site at +201/+202 bp as a key methylation site. The transcription factor GR-α could bind to the +201/+202 bp CG site promoting CREG transcription, a process significantly inhibited by DNMT3B overexpression. Treatment of cells with oxidized low-density lipoprotein (ox-LDL), a critical atherosclerogenic factor, significantly increased DNMT3B expression, increasing CREG promotor methylation, blocking GR-α binding, and inhibiting CREG expression. Consistently, CG sites in the CREG promoter fragment were hyper-methylated in human atherosclerotic arteries, and CREG expression was significantly reduced. A negative correlation between DNMT3B and CREG expression levels was observed in human atherosclerotic arteries. Finally, Ox-LDL-induced endothelium dysfunction was significantly attenuated by both 5-aza-dC and an anti-oxidative molecular N-acetylcysteine (NAC) administration through rescue the expression of CREG and activation of the p-eNOS/NO pathway. CONCLUSIONS: Our study provides the first direct evidence that DNMT3B-mediated CREG gene hypermethylation is a novel mechanism that contributes to endothelial dysfunction and atherosclerosis development. Blocking CREG methylation may represent a novel therapeutic approach to treat ox-LDL-induced atherosclerosis.

8.
Biotechnol Prog ; : e2975, 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32012447

RESUMO

Media components play an important role in modulating cell metabolism and improving product titer in mammalian cell cultures. To sustain cell productivity, highly active oxidative metabolism is desired. Here we explored the effect of tricarboxylic acid (TCA) cycle intermediates supplementation on lactate metabolism and productivity in Chinese hamster ovary fed-batch cultures. Direct addition of 5 mM alpha-ketoglutarate (α-KG), malic acid, or succinic acid in the basal medium did not have any significant impact on culture performance. On the other hand, feeding α-KG, malic acid, and succinic acid in the stationary phase, either as a single solution or as a mixture, significantly improved lactate consumption, reduced ammonium accumulation, and led to higher cell specific productivity and antibody titer (~35% increase for the best condition). Delivering those intermediates as an acidic solution for pH control eliminated CO2 sparging and accumulation. Feeding TCA cycle intermediates was also demonstrated to be superior to feeding lactic acid or pyruvic acid in titer improvement. Taken together, feeding TCA cycle intermediates was effective in improving lactate consumption and increasing product titer, which is likely due to enhanced oxidative metabolism in an extended duration.

9.
ACS Appl Mater Interfaces ; 12(4): 4722-4731, 2020 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-31894961

RESUMO

Metal oxides with a polar surface interact strongly with polar NO2 molecules, thus facilitating sensitive detection of NO2. In this work, the composites comprising graphene and cubic CeO2 nanoparticles with the {100} polar surface are prepared by a hydrothermal technique, and they exhibit fast response, excellent selectivity, stable recovery, and sensitive detection with a low detection limitation of 1 ppm for NO2 at room temperature. According to the first-principle calculations, the adsorption energy of NO2 on the CeO2{100} polar surface is the most negative corresponding to the strongest interactions between them. The formation energy of oxygen vacancies (Ov) on the {100} polar plane is also negative, and the abundant Ov facilitates the adsorption of NO2. The internal electric field near the polar surface promotes the charge separation and accelerates the charge exchange between NO2 and the composites. In addition, graphene promotes electron transfer at the interface and improves the stability of the CeO2{100} polar surface. The composites of graphene and metal oxides with a polar surface are excellent for NO2 detection, and the discovery reveals a new sensing strategy.

10.
Environ Pollut ; 259: 113849, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31931410

RESUMO

The present study evaluated the feasibility of using a marine cage fish Larimichthys crocea as a model for monitoring short-time Cd discharge near the sewage outlet. Fish were exposed to 0, 20, 100, 500 and 2500 µg/L for 6 h. Cd concentrations in gills, and left and right lobes of hepatopancreas were examined as well as activity levels of antioxidant enzymes including superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX), glutathion-S-transferase (GST), glutathione reductase (GR), lipid peroxidation, glutathione (GSH) and mRNA levels of 19 genes encoding these enzymes. Cd concentrations increased at 100, 500 and 2500 µg/L Cd in gill and at 2500 µg/L Cd in hepatopancreas. Lipid peroxidation increased and GSH levels declined in gills at 2500 µg/L Cd. On the contrary, oxidative damage was not observed in hepatopancreas but GSH levels increased at all tested concentrations of Cd in the left lobe and at 20 µg/L Cd in the right lobe. The enhanced antioxidant response was confirmed in gills due to the increased activity levels of antioxidant enzymes and the up-regulated mRNA levels of most genes. However, disordered antioxidant response was observed in hepatopancreas, showing a dose- and lobe-dependent effect. RNA-seq and q-PCR analyses were performed to investigate differently expressed genes between both lobes under different concentrations of Cd. The most significantly enriched pathway term was pancreatic secretion, where the right lobe showed higher mRNA levels of 18 genes encoding pancreatic digestive enzymes than the left one under Cd stress. Interestingly, both lobes had the same mRNA levels of digestive enzyme genes and antioxidant genes in fish without Cd exposure. Overall, Larimichthys crocea is very sensitive to environmental exposure to cadmium. The present study for the first time investigates Cd-induced antioxidant response in Larimichthys crocea, also is the first to find lobe-dependent effects in fish.

11.
Lasers Med Sci ; 35(2): 473-485, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31691054

RESUMO

The objective of this study was to evaluate the clinical attachment level (CAL) gain of Er:YAG, Er,Cr; YSGG, Nd:YAG; and diode laser (DL) as monotherapy or adjunctive to scaling and root planing (SRP) of chronic periodontitis by network meta-analysis (NMA). Randomized controlled clinical trials (RCTs) about lasers applied in SRP of chronic periodontitis were searched from PubMed, Cochrane Library, Web of Science, Ovid, Science Direct, Wan Fang, and China National Knowledge Infrastructure (CNKI) databases up to September 2018 and from references of selected full-texts and related reviews. Standard mean differences and 95% confidence intervals were counted for CAL gain. The random effects NMA were performed in STATA software. There were 25 RCTs about CAL gain at 3 and/or 6 months after lasers were applied in SRP. No inconsistency was detected. Er:YAG as monotherapy gained significantly more CAL at 3 months than did SRP; no significant differences were detected among other comparisons. In terms of CAL gain at 3 months, the ranking result from best to worst was as follows: Er:YAG as monotherapy, DL adjunctive to SRP, Er:YAG adjunctive to SRP, Er,Cr;YSGG as monotherapy, Nd:YAG adjunctive to SRP, and SRP. In terms of CAL gain at 6 months, the ranking result from best to worst was as follows: DL adjunctive to SRP, Nd:YAG adjunctive to SRP, SRP, Er:YAG adjunctive to SRP, and Er:YAG as monotherapy. Laser-assisted periodontal treatment could be superior to SRP alone and could serve as a good adjunctive treatment tool.

12.
Biomater Sci ; 8(2): 673-681, 2020 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-31769454

RESUMO

Cell membrane-cloaked nanotechnology has attracted increasing attention owing to its unique bionic properties, such as specific recognition and biocompatibility conferred by the integrated membrane structure and receptors. However, this technology is limited by the dissociation of the cell membrane from its carrier. Here, we report a novel type of cell membrane-cloaked modified magnetic nanoparticle with good stability in drug discovery. High α1A-adrenergic receptor (α1A-AR) expressing HEK293 cell membrane-cloaked magnetic nanogrippers (α1A/MNGs) were used as a platform for the specific targeting and binding of α1A-AR antagonists as candidate bioactive compounds from traditional Chinese medicine (TCM). Furthermore, using a dynamic covalent bonding approach, α1A/MNGs showed great stability with positive control drug recoveries of α1A/MNGs showing almost no decline after use in five adsorption-desorption cycles. Moreover, the α1A/MNGs possessed a unilamellar membrane with magnetic features and exhibited good binding capacity and selectivity. Ultimately, TCM and pharmacological studies of the bioactivity of the screened compounds confirmed the considerable targeting and binding capability of α1A/MNGs. Application of aldehyde group modification in this drug-targeting concept further improved biomaterial stability and paves the way for the development of new drug discovery strategies. More importantly, the successful application of α1A/MNGs provides new insights into methodologies to improve the integration of cell membranes with the nanoparticle platform.

13.
Cell Prolif ; 53(1): e12708, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31642557

RESUMO

OBJECTIVES: Due to the instability of microRNAs, the applications of microRNA are currently limited. Thus, we utilized tetrahedral framework nucleic acids and a targeted microRNAs to form a stable nanocomposite to explore whether this nanocomposite can promote apoptosis of tumour cells. MATERIALS AND METHODS: In our study, the survivin gene, which is expressed only in tumour cells and embryonic cells, was selected as the target gene; miRNA-214-3p, which can reduce the expression of survivin, was modified onto tetrahedral framework nucleic acid, thereby producing a reduction in the expression of survivin upon intracellular delivery and eventually leading to tumour cell apoptosis. RESULTS: By comparing the stability of microRNAs with that of microRNA-tetrahedral framework nucleic acid, we proved the superiority of this carrier system. The results of flow cytometry showed that after treated with this complex, the ratio of A549 cells in both late and early period of apoptosis in miRNA-214-3p-tetrahedral framework nucleic acid group had doubled and the cell cycle in the G2-M phase had declined. The decrease in the expression of anti-apoptotic protein and the increase in the expression of pro-apoptotic protein indicate that the ability of this complex to function in cells also makes it attractive as a new targeted therapy for cancer. CONCLUSION: The unique expression of survivin in tumour cells and embryonic cells makes microRNA-tetrahedral framework nucleic acid a new targeted therapy. In addition, due to the functional diversity of microRNAs, this delivery system approach can be applied to a wide variety of fields, such as targeted therapy and tissue regeneration.


Assuntos
Apoptose , MicroRNAs/metabolismo , Proteínas de Neoplasias/metabolismo , Neoplasias/metabolismo , RNA Neoplásico/metabolismo , Survivina/metabolismo , Células A549 , Humanos , MicroRNAs/genética , Proteínas de Neoplasias/genética , Neoplasias/genética , Neoplasias/patologia , RNA Neoplásico/genética , Survivina/genética
14.
Acta Pharmacol Sin ; 41(3): 383-393, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31659239

RESUMO

Osteocalcin, expressed in osteoblasts of the bone marrow, undergoes post-translational carboxylation and deposits in mineralized bone matrix. A portion of osteocalcin remains uncarboxylated (uncarboxylated osteocalcin, GluOC) that is released into blood where it functions as a hormone to regulate insulin secretion and insulin sensitivity. As insulin resistance is closely associated with metabolic syndrome, this study is aimed to elucidate how GluOC regulates glucose and lipid metabolism in KKAy mice, an animal model displaying obese, hyperglycemia, hyperinsulinemia, insulin resistance, and hepatic steatosis. GluOC (3, 30 ng/g per day, ig) was orally administered to female KKAy mice for 4 weeks. Whole-body insulin sensitivity, glucose metabolism, hepatic steatosis, dyslipidemia were examined using routine laboratory assays. We found that GluOC administration significantly enhanced insulin sensitivity in KKAy mice by activating hepatic IRß/PI3K/Akt pathway and elevated the whole-body insulin sensitivity with decreased FPI and HOMA-IR index. Furthermore, GluOC administration alleviated hyperglycemia through suppressing gluconeogenesis and promoting glycogen synthesis in KKAy mice and in cultured hepatocytes in vitro. Moreover, GluOC administration dose-dependently ameliorated dyslipidemia and attenuated hepatic steatosis in KKAy mice by inhibiting hepatic de novo lipogenesis and promoting fatty-acid ß-oxidation. These results demonstrate that GluOC effectively enhances hepatic insulin sensitivity, improves hyperglycemia and ameliorates hepatic steatosis in KKAy mice, suggesting that GluOC could be a promising drug candidate for treating metabolic syndrome.

15.
Chemosphere ; 244: 125512, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31816546

RESUMO

QYR301, a novel herbicidal inhibitor of 4-hydroxyphenylpyruvate dioxygenase (HPPD), has great potential for resistant weed control in paddy fields, but massive use of pesticides may result in toxicity to soil non-target organisms. Thus, this study was designed to assess subchronic toxicity of different doses of QYR301 in artificial soil (0, 0.1, 1.0, 2.5, and 5.0 mg kg-1) to earthworms (Eisenia fetida) on days 7, 14, 21, and 28 after exposure, using biomarkers of reactive oxygen species (ROS) and malondialdehyde (MDA) contents, activities of catalase (CAT), superoxide dismutase (SOD), peroxidase (POD) and glutathione-S-transferase (GST), and DNA damage. The ROS content significantly increased for all treatments on 7 and 14 days then decreased, and recovered to control level for 0.1 and 1.0 mg kg-1 treatment on day 28. Concerning enzymes activities, QYR301 increased POD, SOD, and GST activities, but inhibited CAT activity. Except for POD activity, SOD, CAT, and GST activities of 0.1 mg kg-1 group recovered to control level on day 28. Also, the MDA content of 0.1 mg kg-1 group reached control level on day 28. However, DNA damage was observed for all treatments throughout the experiment and it increased with increasing doses and time except for 5.0 mg kg-1 treatment on day 28. These results suggested that QYR301 induced excessive ROS production leading to oxidative stress in earthworms, which caused lipid membrane peroxidation and DNA damage ultimately. The findings could provide a theoretical foundation for assessing ecological damage of QYR301 to soils and a guide for future QYR301 applications.

17.
J Hazard Mater ; : 121790, 2019 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-31818651

RESUMO

Soil bioelectrochemical systems (BESs) utilize indigenous microorganisms to generate biocurrent/electric fields that stimulate the degradation of organic pollutants, exhibiting great potential in the removal of petroleum hydrocarbons from soils. In this study, a horizontal bioelectric field was constructed to investigate the conversion of carbon and nitrogen in a soil BES. After 182 days, the degradation rates of total petroleum hydrocarbons, alkanes, and aromatics were promoted by 52 %, 38% and 136%, respectively. Meanwhile, the bioelectric field accelerated NH4+-N production near the cathode, whereas NH4+-N consumption near the anode indicated that the bioelectric field promoted the cathode-dominated ammoniation process and the anode-dominated denitrification process. Additionally, a distinctive microbial community was formed under the bioelectric field, and the improved degradation on the cathode and the anode relied on special functional bacteria (typically, cathode, Alcanivorax; anode, Marinobacter). The dramatic enrichment in anodic denitrifying bacteria, including Pontibacillus, Sediminimonas, Georgenia, etc., explained the enhanced denitrification process under the bioelectric field. This study simultaneously clarified the carbon and nitrogen conversion processes and corresponding bacterial community occurring under the bioelectric field for the first time, helping to form regulation strategies in the practical application of soil BESs and providing a new perspective for removing petroleum hydrocarbons from soils.

18.
Pain Res Manag ; 2019: 9158653, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31827657

RESUMO

Despite being less invasive, patients who underwent video-assisted thoracic surgery (VATS) suffered considerable postoperative pain. Paravertebral block (PVB) was proven to provide effective analgesia in patients with VATS; however, there is no difference in pain relief between preoperative PVB and postoperative PVB. This study was aimed to investigate the analgesic efficacy of combination of preoperative and postoperative PVB on the same patient undergoing VATS. In this prospective, double-blinded, randomized controlled trial, 44 patients undergoing VATS were enrolled, and they received patient-controlled intravenous analgesia (PCIA) with sufentanil plus preoperative PVB (Group A, n = 15) or postoperative PVB (Group B, n = 15), or combination of preoperative and postoperative PVB (Group C, n = 14). The primary outcome was sufentanil consumption and PCIA press times in the first 24 hours postoperatively. Also, data of postoperative use of PCIA and visual analogue scale (VAS) were collected. In the first 24 hours postoperatively, median sufentanil consumption in Group C was 0 (0-34.75) µg, which was much less than that in Group A (45.00 (33.00-47.00) µg, p=0.005) and Group B (36 (20.00-50.00) µg, p=0.023). Patients in Group C pressed less times of PCIA (0 (0-0) times) than patients in Group A (2 (1-6) times, p < 0.001) and Group B (2 (1-3) times, p=0.009). Kaplan-Meier analysis showed patients with combination of preoperative and postoperative PVB had a higher PCIA-free rate than patients with either technique alone (p=0.003). The VAS among the three groups was comparable postoperatively. The combination of both preoperative and postoperative PVB provides better analgesic efficacy during the early postoperative period and may be an alternative option for pain control after VATS. This trial is registered with ChiCTR1800017102.

19.
J Orthop Surg Res ; 14(1): 423, 2019 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-31823829

RESUMO

BACKGROUND: We aimed to do a national survey on the population-based incidence of calcaneal fracture in China. METHODS: All the data on calcaneal fractures were available from the China National Fracture Survey (CNFS) between January and May in 2015. And in the CNFS, all eligible household members were sampled from 8 provinces, 24 urban cities and 24 rural counties in China, using stratified random sampling and the probability proportional to size method. Questionnaires were sent to every participant for data collection and quality control was accomplished by our research team members. RESULTS: A total of 512187 valid questionnaires were collected and relevant data were abstracted and analyzed. There were 59 patients with 62 calcaneal fractures occurring in 2014, indicating that the incidence was 11.5/100,000 person-years, 17.3/100,000 in males, and 5.5/100,000 in females. BMI ≥ 28.0 kg/m2, scarce meat consumption, smoking, alcohol consumption, average sleep time < 7 h/day, and previous history of fracture were identified as independent risk factors for calcaneal fracture. CONCLUSIONS: Specific public health policies focusing on quitting smoking, decreasing alcohol consumption, and encouraging individuals to obtain sufficient sleep should be implemented. Reasonable meat consumption and maintaining a normal body weight should be emphasized in individuals, especially in those with previous fracture.

20.
Ann Clin Lab Sci ; 49(6): 756-762, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31882426

RESUMO

Hyperuricemia (HUA) is positively correlated with the progression of cardiovascular and metabolic diseases. Anti-HUA drugs aim to either reduce uric acid production or promote uric acid excretion. Urate transporter 1 (URAT1) is a major urate transporter involved in renal uric acid reabsorption and excretion, making it an important anti-HUA drug target. To better understand the characteristics of URAT1 under pathological conditions, the present study aims to investigate URAT1 modulation in HUA mouse and cell line models. We found that URAT1 expression increased in the kidneys of HUA mice with normal renal function, but decreased in HUA mice with kidney injury (KI-HUA). In KI-HUA mice, treatment with anti-HUA agents, febuxostat, and benzbromarone decreased uric acid levels. However, febuxostat treatment also decreased URAT1 expression, whereas benzbromarone treatment increased its expression. Based on these in vivo findings, we propose that extracellular uric acid levels in the proximal tubule epithelial cells positively regulated URAT1 expression. In high uric acid cell models, URAT1 expression increased within 2 h of uric acid stimulation in a dose-dependent manner that supported our hypothesis. Therefore, our results suggest that URAT1 expression is positively regulated by the distinct extracellular uric acid levels in different HUA models.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA