Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 3.906
Filtrar
1.
Talanta ; 221: 121459, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33076081

RESUMO

Herein, a novel sandwich-type electrochemical immunosensor was fabricated based on Fe3O4 nanoflowers (Fe3O4 NFs) and heterogeneous chain reaction (HCR) signal amplification strategy for the sensitive detection of hepatitis B surface antigen (HBsAg). The aldehyde-functionalized Fe3O4 NFs are used as a supporting matrix to immobilize the hepatitis B surface antibody 1 (HBsAb1). The biotin-modified single-strand DNA (biotin-S0) was connected onto the biotin-HBsAb2 via linkage of streptavidin (SA), followed by addition of methylene blue (MB) modified single strand DNA1 (MB-S1) and DNA2 (MB-S2) for HCR signal amplification. The designed immunosensor exhibited a detection linear range of 0.5 pg mL-1-0.25 ng mL-1 and a low detection limit of 0.16 pg mL-1, with excellent stability, selectivity and reproducibility. Furthermore, HBsAg is detected in the serum samples with a stable and fast response, indicating that the proposed immunosensor has a promising potential application in clinical analysis.

2.
Sci Rep ; 10(1): 19761, 2020 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-33188228

RESUMO

Catalyzed diesel particulate filters (CDPFs) have been widespread used as a technically and economically feasible mean for meeting increasingly stringent emissions limits. An important issue affecting the performance of a CDPF is its aging with using time. In this paper, the effects of noble metal loadings, regions and using mileage on the aging performance of a CDPF were investigated by methods of X-ray diffraction (XRD), X-ray photoelectron spectroscopy and catalytic activity evaluation. Results showed that aging of the CDPF shifted the XRD characteristic diffraction peaks towards larger angles and increased the crystallinity, showing a slowing downward trend with the increase of the noble metal loadings. In addition, the increase of the noble metal loading would slow down the decline of Pt and Pt4+ concentration caused by aging. The characteristic temperatures of CO, C3H8 conversion and NO2 production increased after aging, and the more the noble metal loadings, the higher the range of the increase. But noticeably, excessive amounts of noble metals would not present the corresponding anti-aging properties. Specifically, the degree of aging in the inlet region was the deepest, the following is the outlet region, and the middle region was the smallest, which were also reflected in the increase range of crystallinity, characteristic temperatures of CO, C3H8 conversion and NO2 production, as well as the decrease range of Pt and Pt4+ concentrations. The increase of aging mileage reduced the size of the aggregates of the soot and ash in CDPFs, however, improved the degree of tightness between particles. Meanwhile Carbon (C) concentration in the soot and ash increased with the aging mileage.

3.
J Vis Exp ; (164)2020 10 22.
Artigo em Inglês | MEDLINE | ID: mdl-33165327

RESUMO

Close to 14% of adults in the United States were reported to smoke cigarettes in 2018. The effects of cigarette smoke (CS) on lungs and cardiovascular diseases have been widely studied, however, the impact of CS in other tissues and organs such as blood and bone marrow remain incompletely defined. Finding the appropriate system to study the effects of CS in rodents can be prohibitively expensive and require the purchase of commercially available systems. Thus, we set out to build an affordable, reliable, and versatile system to study the pathologic effects of CS in mice. This whole-body inhalation exposure system (WBIS) set-up mimics the breathing and puffing of cigarettes by alternating exposure to CS and clean air. Here we show that this do-it-yourself (DIY) system induces airway inflammation and lung emphysema in mice after 4-months of cigarette smoke exposure. The effects of whole-body inhalation (WBI) of CS on hematopoietic stem and progenitor cells (HSPCs) in the bone marrow using this apparatus are also shown.

4.
Clin Nutr ; 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33189424

RESUMO

BACKGROUND & PURPOSE: A growing number of studies have shown that fasting blood glucose is related to the risk of stroke, however, the dose-response association between fasting blood glucose and the risk of stroke is still unclear. Accordingly, we conducted a dose-response meta-analysis to evaluate the relationship between fasting blood glucose and the risk of stroke by summarizing cohort studies. METHODS: PubMed and Embase databases were searched for related studies (until October 2020). Cohort studies examining the influence of fasting blood glucose on stroke risk were summarized. A dose-response relationship was determined using a random-effect model. RESULTS: Eighteen cohort studies involving 2,555,666 participants were included. The pooled relative risk for the high-versus-low categories was 1.79 (95% CI: 1.68-1.91) in all people, and 1.16 (95% CI: 1.11-1.21) in non-diabetic people. In addition, there was a non-linear relationship between fasting blood glucose and stroke risk. The incidence of stroke was reduced to its lowest point when fasting blood glucose level was 70-100 mg/dL. CONCLUSION: Fasting blood glucose was positively related to stroke risk, with a non-linear dose-response relationship.

5.
Ophthalmic Res ; 2020 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-33190138

RESUMO

INTRODUCTION: Intraocular foreign bodies (IOFBs) are a serious subset of open-globe injury that can result in visual loss. This study analyzed the epidemiology, clinical characteristics and visual outcomes of patients with IOFBs in Southwest China. METHODS: This retrospective study comprised 1176 patients with the primary diagnosis of IOFBs who resided in Sichuan Province over a 10-year period. All data were collected from medical records and analyzed statistically. RESULTS: The annual incidence for IOFBs was 0.14 per 100,000 (95% CI 0.12-0.16 per 100,000) people in Southwest China. In that period, IOFBs accounted for 22.3% of all open-globe injuries. Working-age male patients accounted for 79.1% of all IOFBs patients and there had significant differences in age distributions between genders(P<0.001). Metallic IOFBs was the most common (74.6%) IOFB, but there were significant differences in the materials of IOFBs between adults and children of different age groups (P<0.001). At discharge, 277 (23.6%) patients had increased visual acuity (VA) and 95 (8.0%) had no light perception. Initial visual acuity (VA) < 20/200 (OR, 5.5; P<0.001), increasing wound size (OR, 1.3; P=0.004), IOFBs in the posterior segment (OR, 2.6; P=0.002) and existing complications (traumatic cataract, endophthalmitis, retinal detachment or retinal break) were independent risk factors for final VA < 20/200. CONCLUSION: The incidence of IOFBs in Southwest China differed from global statistics. Adults and children had different clinical characteristics. Thus, their prevention strategies should be different.

6.
Virulence ; 2020 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-33200669

RESUMO

The process of protein translocation into the endoplasmic reticulum (ER) is the initial and decisive step in the biosynthesis of all secretory proteins and many soluble organelle proteins. In this process, the Sec61 complex is the protein-conducting channel for transport. In this study, we identified and characterized the ß subunit of the Sec61 complex in Magnaporthe oryzae (MoSec61ß). Compared with the wild-type strain Guy11, the ΔMosec61ß mutant exhibited highly branched mycelial morphology, reduced conidiation, high sensitivity to cell wall integrity stress, severely reduced virulence to rice and barley, and restricted biotrophic invasion. The turgor pressure of ΔMosec61ß was notably reduced, which affected the function of appressoria. Moreover, ΔMosec61ß was also sensitive to oxidative stress and exhibited a reduced ability to overcome plant immunity. Further examination demonstrated that MoSec61ß affected the normal secretion of the apoplastic effectors Bas4 and Slp1. In addition, ΔMosec61ß upregulated the level of ER-phagy. In conclusion, our results demonstrate the importance of the roles played by MoSec61ß in the fungal development and pathogenesis of M. oryzae.

7.
Life Sci ; : 118724, 2020 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-33160987

RESUMO

Hyperglycemia induces endothelial cells (ECs) dysfunction and vascular complications by accelerating ECs senescence. It also induces downregulation of sirtuins (SIRTs). However, the molecular mechanism involved in the regulation of ECs senescence by SIRT3 remains unclear. Here, we showed that high glucose (HG) decreased the expression level of SIRT3 in human umbilical vein endothelial cells (HUVECs), increased the proportion of cells expressing senescence-associated galactosidase (SA-gal), and HG damaged the cell's ability to form tubule networks on Matrigel. However, transfection with adenoviral construct including SIRT3 significantly inhibited HG-induced SA-gal activity, decreased p53 acetylation level at the site Lys 320 (k320), and overexpression of SIRT3 antagonized high glucose-induced angiogenic dysfunction. Our results suggested a possible molecular mechanism involving HG-SIRT3-p53 in ECs senescence.

8.
Artigo em Inglês | MEDLINE | ID: mdl-33186113

RESUMO

Mismatches between the precisions of representing the disparity, depth value and rendering position in 3D video systems cause redundancies in depth map representations. In this paper, we propose a highly efficient multiview depth coding scheme based on Depth Histogram Projection (DHP) and Allowable Depth Distortion (ADD) in view synthesis. Firstly, DHP exploits the sparse representation of depth maps generated from stereo matching to reduce the residual error from INTER and INTRA predictions in depth coding. We provide a mathematical foundation for DHP-based lossless depth coding by theoretically analyzing its rate-distortion cost. Then, due to the mismatch between depth value and rendering position, there is a many-to-one mapping relationship between them in view synthesis, which induces the ADD model. Based on this ADD model and DHP, depth coding with lossless view synthesis quality is proposed to further improve the compression performance of depth coding while maintaining the same synthesized video quality. Experimental results reveal that the proposed DHP based depth coding can achieve an average bit rate saving of 20.66% to 19.52% for lossless coding on Multiview High Efficiency Video Coding (MV-HEVC) with different groups of pictures. In addition, our depth coding based on DHP and ADD achieves an average depth bit rate reduction of 46.69%, 34.12% and 28.68% for lossless view synthesis quality when the rendering precision varies from integer, half to quarter pixels, respectively. We obtain similar gains for lossless depth coding on the 3D-HEVC, HEVC Intra coding and JPEG2000 platforms.

9.
Artigo em Inglês | MEDLINE | ID: mdl-33186115

RESUMO

High Efficiency Video Coding (HEVC) can significantly improve the compression efficiency in comparison with the preceding H.264/Advanced Video Coding (AVC) but at the cost of extremely high computational complexity. Hence, it is challenging to realize live video applications on low-delay and power-constrained devices, such as the smart mobile devices. In this paper, we propose an online learning-based multi-stage complexity control method for live video coding. The proposed method consists of three stages: multi-accuracy Coding Unit (CU) decision, multi-stage complexity allocation, and Coding Tree Unit (CTU) level complexity control. Consequently, the encoding complexity can be accurately controlled to correspond with the computing capability of the video-capable device by replacing the traditional brute-force search with the proposed algorithm, which properly determines the optimal CU size. Specifically, the multi-accuracy CU decision model is obtained by an online learning approach to accommodate the different characteristics of input videos. In addition, multi-stage complexity allocation is implemented to reasonably allocate the complexity budgets to each coding level. In order to achieve a good trade-off between complexity control and rate distortion (RD) performance, the CTU-level complexity control is proposed to select the optimal accuracy of the CU decision model. The experimental results show that the proposed algorithm can accurately control the coding complexity from 100% to 40%. Furthermore, the proposed algorithm outperforms the state-of-the-art algorithms in terms of both accuracy of complexity control and RD performance.

10.
Analyst ; 2020 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-33179667

RESUMO

Herein, a novel electrochemical biosensor was constructed for the highly efficient detection of silver ions. A porous platform constructed with functionalized gold nanoparticles (AuPP) was electropolymerized on the gold electrode surface. The obtained polymer, analogous to a metal-organic framework, was used as the sensing platform together with cytosine-Ag+-cytosine interaction for dual signal amplification. The scanning electron microscopy (SEM) image of the AuPP platform exhibited a porous structure and considerable binding sites for C-riched single stranded DNA, leading to predictable silver ion preconcentration. Based on this strategy, the biosensor showed that the peak current in differential pulse voltammetry rose linearly as the concentration of silver ion increased from 0.005 to 3 µM with a detection limit of 1.3 nM. In addition, in the presence of other metal ions, such as Pb2+, Mn2+, Ni2+, Co2+, Cu2+, Zn2+, Na+, Ca2+, and Cd2+, at the same concentration, the current signal remained almost unchanged, manifesting high selectivity for Ag+. This proposed sensor might exhibit a novel fabrication method for metal ion detection with the aid of multiple AuPP materials by designing ligands with different functional groups.

11.
Artigo em Inglês | MEDLINE | ID: mdl-33179903

RESUMO

Conductive textiles (CTs) are promising electromagnetic interference (EMI) shielding materials. Nevertheless, limited stretchability and poor reliability restrict their potential applications in stretchable electronic devices because of the rigid conductive networks. Herein, a highly stretchable and reliable CT is developed for effective EMI shielding by designing a deformable liquid-metal (LM) coating and polydimethylsiloxane (PDMS) protective layer. The resultant PDMS-LM/Textile exhibits an outstanding EMI shielding efficiency (EMI SE) of 72.6 dB at a thickness of only 0.35 mm while maintaining EMI SEs of 66.0 and 52.4 dB under strains of 30 and 50%, respectively. The corresponding EMI SEs hold 91.7 and 80.3% retention after 5000 stretching-releasing cycles, respectively. The superior and durable EMI SE should be ascribed to the perfect connectivity and good deformability of conductive LM networks. Moreover, the LM coating has a robust fastness to the textile substrate, without any obvious decrease in EMI SE after 10 min of ultrasonic treatment and 100 peeling cycles because of the protective effect of the PDMS layer. This work provides a novel route to developing highly stretchable CTs for advanced EMI shielding applications, especially in the field of highly stretchable electronic devices.

12.
J Phys Chem A ; 2020 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-33179907

RESUMO

Tryptophan (Trp) is very necessary for biosystems; therefore, high-efficient detection of Trp is an important subject. Hereof, based on our early research works on fluorescent sensors, we rationally designed and synthesized a fluorescent sensor (SNP5) based on N-(2-aminoethyl)-2-(hexylthio) acetamide-functionalized pillar[5]arene, which showed high selectivity and sensitive recognition for l-Trp (LOD = 2.19 × 10-8 M). Moreover, SNP5 exhibited aggregation-induced emission enhancement fluorescence. Within SNP5, the pillar[5]arene group could act as N-H···π- and C-H···π-interaction sites, as well as a H-bond-interaction site; meanwhile, the N-(2-aminoethyl)-2-(hexylthio) acetamide group also served as a multihydrogen-bonding site. As a result, SNP5 could selectively detect l-Trp through the synergy of the pillar[5]arene group and the N-(2-aminoethyl)-2-(hexylthio) acetamide group. Compared with previous work, the results of this work support the strategy that changing the functionalized group of the pillar[5]arene can adjust the selectivity of the pillar[5]arene-based sensor and achieve the detection of different amino acids. The detection mechanism was specifically researched through experiments and theoretical calculations including frontier orbitals, electrostatic potential, and the independent gradient model approach. Interestingly, these theoretical calculations not only supported the experimental results but also provided a visualized understanding of guest-adaptive multisupramolecular interactions between SNP5 and l-Trp.

14.
Pancreas ; 49(9): 1246-1254, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33003087

RESUMO

OBJECTIVE: The aim of the study was to evaluate the efficacy of early percutaneous catheter drainage (PCD) for sterile acute inflammatory pancreatic fluid collection (AIPFC) in acute pancreatitis (AP) of varying severity. METHODS: Retrospective analyses were performed based on the presence of sterile AIPFC and different AP severities according to 2012 Revised Atlanta Classification. RESULTS: Early PCD contributed to obvious decreases in operation rate (OR, P = 0.006), infection rate (IR, P = 0.020), and mortality (P = 0.009) in severe AP (SAP). In moderate SAP with sterile AIPFCs, however, early PCD was associated with increased OR (P = 0.009) and IR (P = 0.040). Subgroup analysis revealed that early PCD led to remarkable decreases in OR for patients with persistent organ failure (OF) within 3 days (P = 0.024 for single OF, P = 0.039 for multiple OF) and in mortality for patients with multiple OF (P = 0.041 for OF within 3 days and P = 0.055 for 3-14 days). Moreover, lower mortality was found in SAP patients with early PCD-induced infections than with spontaneous infections (P = 0.027). CONCLUSIONS: Early PCD may improve the prognosis of SAP with drainable sterile AIPFCs by reducing the OR, IR, and mortality.

15.
Plant Genome ; 13(1): e20001, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-33016624

RESUMO

African wild rice Oryza longistaminata, one of the eight AA- genome species in the genus Oryza, possesses highly valued traits, such as the rhizomatousness for perennial rice breeding, strong tolerance to biotic and abiotic stresses, and high biomass production on poor soils. To obtain the high-quality reference genome for O. longistaminata we employed a hybrid assembly approach through incorporating Illumina and PacBio sequencing datasets. The final genome assembly comprised only 107 scaffolds and was approximately ∼363.5 Mb, representing ∼92.7% of the estimated African wild rice genome (∼392 Mb). The N50 lengths of the assembled contigs and scaffolds were ∼46.49 Kb and ∼6.83 Mb, indicating ∼3.72-fold and ∼18.8-fold improvement in length compared to the earlier released assembly (∼12.5 Kb and 364 Kb, respectively). Aided with Hi-C data and syntenic relationship with O. sativa, these assembled scaffolds were anchored into 12 pseudo-chromosomes. Genome annotation and comparative genomic analysis reveal that lineage-specific expansion of gene families that respond to biotic- and abiotic stresses are of great potential for mining novel alleles to overcome major diseases and abiotic adaptation in rice breeding programs. This reference genome of African wild rice will greatly enlarge the existing database of rice genome resources and unquestionably form a solid base to understand genomic basis underlying highly valued phenotypic traits and search for novel gene sources in O. longistaminata for the future rice breeding programs.


Assuntos
Oryza , Genoma , Genômica , Oryza/genética , Análise de Sequência de DNA
16.
Virol J ; 17(1): 146, 2020 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-33028368

RESUMO

BACKGROUND: An effective vaccine that prevents disease caused by hantaviruses is a global public health priority, but up to now, no vaccine has been approved for worldwide use. Therefore, novel vaccines with high prophylaxis efficacy are urgently needed. METHODS: Herein, we designed and synthesized Hantaan virus (HTNV) linear multi-epitope peptide consisting of HLA-A*02-restricted HTNV cytotoxic T cell (CTL) epitope and pan HLA-DR-binding epitope (PADRE), and evaluated the immunogenicity, as well as effectiveness, of multi-epitope peptides in HLA-A2.1/Kb transgenic mice with interferon (IFN)-γ enzyme-linked immunospot assay, cytotoxic mediator detection, proliferation assay and HTNV-challenge test. RESULTS: The results showed that a much higher frequency of specific IFN-γ-secreting CTLs, high levels of granzyme B production, and a strong proliferation capacity of specific CTLs were observed in splenocytes of mice immunized with multi-epitope peptide than in those of a single CTL epitope. Moreover, pre-immunization of multi-epitope peptide could reduce the levels of HTNV RNA loads in the liver, spleen and kidneys of mice, indicating that specific CTL responses induced by multi-epitope peptide could reduce HTNV RNA loads in vivo. CONCLUSIONS: This study may provide an important foundation for the development of novel peptide vaccines for HTNV prophylaxis.

17.
Mol Med Rep ; 22(5): 4265-4277, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33000237

RESUMO

Mechanical ventilation (MV) and lipopolysaccharide (LPS) infection are common causes of acute lung injury. The aim of the present study was to identify the key genes and potential mechanisms involved in mechanical ventilation (MV) and lipopolysaccharide (LPS)­induced acute lung injury (ALI). Gene expression data of adult C57BL/6 mice with ALI induced by inhaling LPS, MV and LPS + MV were downloaded from the Gene Expression Omnibus database. Differentially expressed genes (DEGs) associated with MV, LPS and LPS + MV were screened, followed by functional enrichment analysis, protein­protein interaction network construction, and prediction of transcription factors and small molecule drugs. Finally, the expression of key genes was verified in vivo using reverse transcription­quantitative PCR. A total of 63, 538 and 1,635 DEGs were associated with MV, LPS and LPS + MV, respectively. MV­associated genes were significantly enriched in the 'purine ribonucleotide metabolic process'. LPS and LPS + MV­associated genes were significantly enriched in 'cellular response to cytokine stimulus' and 'cell chemotaxis'. All three conditions were enriched in 'TNF signaling pathway' and 'IL­17 signaling pathway'. Expression levels of C­X­C motif chemokine ligand (CXCL)2, CXCL3 and CXCL10 were upregulated in the LPS and LPS + MV groups. Adenosine A2b receptor, zinc finger and BTB domain­containing 16 and hydroxycarboxylic acid receptor 2 were identified as DEGs in the MV group. Compared with the control group, Early growth response 1 and activating TF 3 was upregulated in all three groups. Similarities and differences were observed among the MV­ and LPS­induced ALI, and MV may enhance the effects of LPS on gene expression. MV may affect urine ribonucleotide metabolic­related processes, whereas LPS may cause cell chemotaxis and cytokine stimulus responses in ALI progression. The inflammatory response was shared by MV and LPS. The results of the present study may provide insight into a theoretical basis for the study and treatment of ALI.

18.
Arterioscler Thromb Vasc Biol ; : ATVBAHA120315151, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-32998518

RESUMO

OBJECTIVE: In patients with peripheral artery disease, blockages in arterioles <1 mm cannot be treated surgically, and there are currently few effective medicines. Studies have shown that inflammation in ischemic tissue is related to injury recovery and angiogenesis, but insufficient attention has been paid to this area. Studies have suggested that HMGB1 (high mobility group protein 1), which is released by ischemic tissue, promotes angiogenesis, but the mechanism is not entirely clear. In this study, we tested the internalization of HMGB1 in endothelial cells and investigated a novel proangiogenic pathway. Approach and Results: Using green fluorescent protein-tagged HMGB1 to stimulate endothelial cells, we demonstrated HMGB1 internalization via dynamin and RAGE (receptor for advanced glycation end products)-dependent signaling. Using a fluorescence assay, we detected internalized protein fusion to lysosomes, followed by activation of CatB (cathepsin B) and CatL (cathepsin L). The latter promoted the release of VEGF (vascular endothelial growth factor)-A and endoglin and upregulated the capacities of cell migration, proliferation, and tube formation in endothelial cells. We identified that the cytokine-induced fragment-a key functional domain in HMGB1-mediates the internalization and angiogenic function of HMGB1. We further confirmed that HMGB1 internalization also occurs in vivo in endothelial cells and promotes angiogenesis in mouse femoral artery ligation. CONCLUSIONS: In this study, we identified a novel pathway of HMGB1 internalization-induced angiogenesis in endothelial cells. This finding sheds light on the regulatory role of inflammatory factors in angiogenesis through cell internalization and opens a new door to understand the relationship between inflammation and angiogenesis in ischemic diseases.

19.
Clin Cancer Res ; 2020 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-33087333

RESUMO

PURPOSE: We assessed the efficacy and safety of camrelizumab (an anti-PD-1 monoclonal antibody) plus apatinib (a vascular endothelial growth factor [VEGFR]-2 tyrosine kinase inhibitor) in patients with advanced hepatocellular carcinoma (HCC). PATIENTS AND METHODS: This non-randomized, open-label, multicenter, phase 2 study enrolled patients with advanced HCC who were treatment-naive or refractory/intolerant to first-line targeted therapy. Patients received intravenous camrelizumab 200 mg (for bodyweight ≥50 kg) or 3 mg/kg (for bodyweight <50 kg) every 2 weeks plus oral apatinib 250 mg daily. The primary endpoint was objective response rate (ORR) assessed by an independent review committee (IRC) per RECIST v1.1. RESULTS: Seventy patients in the first-line setting and 120 patients in the second-line setting were enrolled. As of January 10, 2020, the ORR was 34.3% (24/70, 95% CI 23.3-46.6) in the first-line and 22.5% (27/120, 95% CI 15.4-31.0) in the second-line cohort per IRC. Median progression-free survival in both cohorts was 5.7 months (95% CI 5.4-7.4) and 5.5 months (95% CI 3.7-5.6), respectively. The 12-month survival rate was 74.7% (95% CI 62.5-83.5) and 68.2% (95% CI 59.0-75.7), respectively. Grade ≥3 treatment-related adverse events (TRAEs) were reported in 147 (77.4%) of 190 patients, with the most common being hypertension (34.2%). Serious TRAEs occurred in 55 (28.9%) patients. Two (1.1%) treatment-related deaths occurred. CONCLUSION: Camrelizumab combined with apatinib showed promising efficacy and manageable safety in patients with advanced HCC in both the first-line and second-line setting. It might represent a novel treatment option for these patients.

20.
J Occup Rehabil ; 2020 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-33090356

RESUMO

Purpose The present study aimed to understand the roles, effective strategies and facilitators, and challenges of employment support specialists (ESS) in assisting young people with mental health conditions (MHCs) gain and sustain employment in Singapore. Methods An interpretative qualitative design using an inductive approach was adopted for this study. Using a semi-structured interview guide, in-depth interviews were conducted with twenty ESS employed with mental health service providers or other community-based centers. Verbatim transcripts of the interviews were thematically analyzed using inductive methods. ESS were broadly classified as "any professionals providing employment-related support to people with MHCs". Results Majority of the ESS were employed at a tertiary psychiatric institute. Participants included vocational and occupational specialists, case managers and other clinical professionals. Three key themes emerged from the data: (i) descriptions of roles undertaken by the ESS depicting a wide range of services and requisite skillsets; (ii) facilitators that benefit young people with MHCs' in terms of job placement, for example, ESS' attitudes and attributes, and their clients' disposition; and (iii) challenges that deter effective job placements, such as factors pertaining to the ESS themselves, their clients, and clients' employers. Under this theme, ESS also proposed ways to improve employment opportunities of people with MHCs. Conclusions This study provided insight into a range of tasks performed and challenges faced by ESS in Singapore while assisting their clients. There is a need to address ESS' challenges and expectations in order to enhance their efficiency and aid reintegration of young people with MHCs into the workforce and the society.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA