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1.
Org Lett ; 25(2): 421-425, 2023 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-36622839

RESUMO

α-(3-Indolyl)ketones are essential building blocks for the generation of biologically active molecules. We described a new method for the direct assembly of α-(3-indolyl)ketones through the cascade reaction of 2-alkynyl aryl azides with enecarbamates, in which the in situ generated α-imino gold carbene intermediate was trapped by enecarbamate to achieve umpolung reactivity of indole at the 3-position.

2.
Front Plant Sci ; 13: 1068795, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36531400

RESUMO

The relationship between diversity and stability is a focus in community ecology, but the relevant hypotheses have not been rigorously tested at trophic and network levels due to a lack of long-term data of species interactions. Here, by using seed tagging and infrared camera tracking methods, we qualified the seed-rodent interactions, and analyzed the associations of rodent community stability with species diversity, species abundance, and seed-rodent network complexity of 15 patches in a subtropical forest from 2013 to 2021. A total of 47,400 seeds were released, 1,467 rodents were marked, and 110 seed-rodent networks were reconstructed to estimate species richness, species abundance, and seed-rodent network metrics. We found, from younger to older stands, species richness and abundance (biomass) of seeds increased, while those of rodents decreased, leading to a seed-rodent network with higher nestedness, linkage density, and generality in older stands, but higher connectance in younger stands. With the increase of temperature and precipitation, seed abundance (biomass), rodent abundance, and the growth rate of rodent abundance increased significantly. We found rodent community stability (i.e., the inverse of rodent abundance variability) was significantly and positively associated with seed diversity, seed availability, linkage density and generality of seed-rodent networks, providing evidence of supporting the Bottom-Up Diversity-Stability Hypotheses and the Abundant Food Diversity-Stability Hypothesis. Our findings highlight the significant role of resource diversity and availability in promoting consumers' community stability at trophic and network levels, and the necessity of protecting biodiversity for increasing ecosystem stability under human disturbance and climate variation.

3.
BMC Musculoskelet Disord ; 23(1): 911, 2022 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-36229809

RESUMO

BACKGROUND: Minimally invasive treatments for calcaneous fractures have the same outcomes and fewer complications. However, they are technically demanding, and there are a lack reduction tools. To overcome these problems, a calcaneous interlocking nail system was developed that can make reduction and fixation minimally invasive and effective. We retrospectively studied the calcaneous fracture variables intraoperatively and followed up to evaluate the outcomes of patients treated with the calcaneous interlocking nail system. METHODS: All patients in 7 institutions between October 2020 and May 2021 who had calcaneous fractures treated with calcaneous interlocking nails were retrospectively analyzed. The patient characteristics, including age, sex, injury mechanism, Sanders type classification, smoking status, and diabetes were recorded. The calcaneous interlocking nail and standard surgical technique were introduced. The intraoperative variables, including days waiting for surgery, surgery time, blood loss, incision length, and fluoroscopy time, were recorded. The outcomes of complications, AOFAS scores and VAS scores were recorded and compared with other similar studies. RESULTS: Fifty-nine patients were involved in this study; 54 were male; 5 were female; and they had an average age of 47.5 ± 9.2 years (range 25-70). 2 of these fractures were Sanders type I, 28 of these fractures were Sanders type II, 27 of these fractures were Sanders type III, and 2 of these were Sanders type IV. The surgery time was 131.9 ± 50.5 (30-240) minutes on average. The blood loss was 36.9 ± 41.1 (1-250) ml. The average incision length was 3.5 ± 1.8 (1-8) cm; 57 were sinus tarsi incisions; and 2 were closed fixations without incisions. The average fluoroscopy time was 12.3 ± 3.6 (10-25) seconds during the surgery. The VAS score of patients on the day after surgery was 2.4 ± 0.7 (1-3). The AOFAS ankle-hindfoot score in patients who had a follow-up of at 12 months was 93.3 ± 3.6(85-99). During the follow-up, all patients' functional outcomes were good. One patient had a superficial infection. The rate of complications of the 59 patients was 1.7% (1/59). CONCLUSION: The calcaneous interlocking nail system can have satisfactory reduction and fixation in calcaneous fractures, even in Sanders type IV. The outcomes of follow-up showed good function. The calcaneous interlocking nail could be an alternative method for minimally invasive calcaneous fracture fixation.


Assuntos
Calcâneo , Fraturas Ósseas , Ferida Cirúrgica , Adulto , Idoso , Calcâneo/cirurgia , Feminino , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento
4.
Opt Lett ; 47(20): 5373-5376, 2022 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-36240366

RESUMO

We present and demonstrate a method based on a periodic phase noise estimation in an optical frequency domain reflectometry (OFDR) capable of a beyond 107 range-resolution-1 product (RRP) for the first time, which corresponds to 2.5 × improvement compared with the state-of-the-art. The moving average filter is employed to suppress the amplification of noise in the derivation process. Further, with the help of a third-order Taylor expansion, this method provides a highly precise estimation of periodic phase noise, which is the main factor impacting the performance of OFDR systems with medium-to-long measurement range combined with a submillimeter spatial resolution. A spatial resolution within 535 µm over the measurement range of 8 km is obtained. The proposed method offers a promising technique for fiber network monitoring and sensing applications.

5.
Appl Opt ; 61(28): 8382-8388, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36256152

RESUMO

To settle the terahertz (THz) image degradation problem, we propose an effective enhancement method based on the physical model and multiscale retinex (MSR) algorithm. The overall enhancing process involves two parts: reconstruction and enhancement. First, the original THz images are reconstructed by a mathematical model, which is built and considered the THz absorption variate and Gaussian distribution of the beam. Then, the original images are processed by the proposed algorithm, which combines the atmospheric scattering model and optimized MSR algorithm. The proposed algorithm not only recovers the image scene radiance and removes haze, but also can make a compromise of the dynamic range of gray scale and edge enhancement of the image. Results on a variety of THz images demonstrate our method can effectively improve the quality of THz images and retain sufficient image details.

6.
ACS Appl Mater Interfaces ; 14(42): 47971-47980, 2022 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-36219720

RESUMO

Nowadays, thermally activated delayed fluorescence (TADF) compounds with a fused-ring core skeleton are getting increasing research interest because of their use in high-performance organic light-emitting diodes (OLEDs). In this study, TADF compounds featuring a D-A-type fused-ring core skeleton are developed. The challenging compatibility of a planarized D-A arrangement and the TADF property is achieved through linking the D and A moieties with two oxygen atoms within a six-membered ring. Compared with a single-oxygen analogue possessing a flexible skeleton and a twisted D-A arrangement, these fused-ring compounds with higher skeleton rigidity show higher photoluminescence quantum yields and narrower emission spectra in toluene and in doped thin films. Their electroluminescent devices achieve high external quantum efficiencies (up to 19.4%), suggesting the potential of rarely achieved D-A-type fused-ring TADF systems to serve as high-performance emitters of OLEDs.

7.
Bioresour Technol ; 366: 128186, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36307025

RESUMO

In this study, a novel ternary deep eutectic solvents (DES) consisting of choline chloride/PEG/hydroxyethyl sulfonic acid (HSA) was developed to effectively improve glucose yield and concentration of sugarcane bagasse, and the conditions of the pretreatment were optimized by response surface method (RSM). Under the optimal conditions, the maximum glucose concentration (GC) could reach 12.39 g/L (HSA concentration 1.34 %, PEG400, 2.3 h, 150 °C), and the maximum glucose yield (GY) was 0.2497 g/g (HSA concentration 1.41 %, PEG400, 2.1 h, 150 °C). Hemicellulose was completely removed, and the maximum lignin removal rate was 86.89 %. After pretreatment, 95 % of the pretreated liquid can be recycled. Finally, the structural and morphological changes of bagasse before and after pretreatment were investigated by scanning electron microscopy (SEM), Fourier Transform infrared analyzer (FT-IR) and X-ray diffraction (XRD).


Assuntos
Saccharum , Saccharum/química , Celulose/química , Solventes Eutéticos Profundos , Glucose/química , Espectroscopia de Infravermelho com Transformada de Fourier , Hidrólise , Lignina , Solventes
8.
Front Cardiovasc Med ; 9: 967780, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36158802

RESUMO

Background: High body mass index increases the risk of heart failure morbidity and mortality. It is unclear whether a high body mass index is associated with prognosis in patients with heart failure with mildly reduced left ventricular ejection fraction (HFmrEF). We retrospectively analyzed the effect of a high body mass index on the prognosis of patients with HFmrEF. Methods: We investigated the association between body mass index and cardiovascular death (death from any cardiovascular mechanism) in 1,691 HFmrEF patients (mean age, 68 years; 35% female) in Xiangtan Central Hospital. Using Cox proportional hazards models, body mass index was assessed as a continuous and a categorical variable. Results: Cardiovascular death occurred in 133 patients (82 males and 51 females) after 1 year of follow-up. After adjustment for established risk factors, there was a 7.5% increase in the risk of cardiovascular death for females for each increment of 1 in BMI. In contrast, changes in male body mass index were not significantly associated with cardiovascular death (P = 0.097). Obese subjects had a 1.8-fold increased risk of cardiovascular death compared with subjects with a normal body mass index. The hazard ratio for females was 2.163 (95% confidence interval: 1.150-4.066). Obesity was not significantly associated with cardiovascular death in males (P = 0.085). Conclusion: An increased body mass index is associated with an increased risk of cardiovascular death in patients with HFmrEF; however, this risk was mainly associated with female patients with HFmrEF and less with male patients with HFmrEF.

9.
Opt Lett ; 47(18): 4810-4813, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-36107096

RESUMO

We propose a common-path interferometer (CPI) method to suppress the ambient and laser phase noise in frequency sweeping interferometry. The CPI realizes the multiplexing of the main and auxiliary interferometer to ensure the common-mode characteristic of the interference phase noise, which can be eliminated by signal mixing. In experiments, we obtain a dynamic range of up to 110 dB. Compared with the compensation method using a separated auxiliary interferometer, the CPI method improves the dynamic range by 10 dB and is immune to ambient noise. The proposed method enables high-precision distributed polarization measurements of optical fibers and devices.

10.
ESC Heart Fail ; 9(5): 3124-3138, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35751458

RESUMO

AIMS: Clinical data on the prognostic determinants over varying periods within the same cohort of heart failure with mid-range or mildly reduced ejection fraction (HFmrEF) remain scarce. This study aimed to identify the short-term, intermediate-term, and long-term risk factors of adverse cardiovascular (CV) outcomes in patients hospitalized for HFmrEF. METHODS AND RESULTS: This retrospective study included 1691 consecutive HFmrEF patients admitted to our hospital between January 2015 and August 2020. Baseline data including clinical characteristics, laboratory and cardiac imaging examinations were obtained. Patients completed at least 1 year clinical follow-up after discharge by telephone interview, clinical visit, or community visit. The primary endpoint was defined as a composite of CV death or rehospitalization for heart failure (CV events) at 3, 12, and 33 months after the diagnosis of HFmrEF. Mean age of the whole cohort was 69 (61-77) years and 64.8% were male. The median clinical follow-up was 33 (20-50) months. CV events were 17.5%, 28.2%, and 57.8% at 3, 12, and 33 months after discharge, respectively. Independent risk factors for CV events were uric acid >382 µmol/L, creatinine >100 µmol/L, N-terminal pro-B type natriuretic peptide (NT-proBNP) > 3368 pg/mL and haemoglobin <120 g/L for men and <110 g/L for women at 3 and 12 months. Pulmonary artery systolic pressure >35 mmHg and the ratio of early transmitral flow velocity to early mitral annular velocity >18 served as independent risk factors for CV events at 12 months. At 33 months, uric acid > 382 µmol/L, NT-proBNP >3368 pg/mL, and pulmonary artery systolic pressure >35 mmHg were the independent risk factors of CV events. CONCLUSIONS: Higher uric acid, creatinine, NT-proBNP, and lower haemoglobin levels at baseline are valuable serum biomarkers for risk stratification of short-term and long-term CV outcomes of HFmrEF patients. Future studies are needed to verify if intensive heart failure therapy for identified high-risk HFmrEF patients based on these four serum biomarkers could improve their short-term and long-term CV outcomes or not.


Assuntos
Insuficiência Cardíaca , Ácido Úrico , Idoso , Feminino , Humanos , Masculino , Biomarcadores , Creatinina , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/epidemiologia , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Volume Sistólico , Pessoa de Meia-Idade
11.
ESC Heart Fail ; 9(4): 2713-2718, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35595501

RESUMO

AIMS: Pulmonary congestion (PC) expressed by residual lung ultrasound B-lines (LUS-BL) could exist in some discharged heart failure (HF) patients, which is a known determinant of poor outcomes. Detection efficacy for PC is suboptimal with widely used imaging modalities, like X-ray or echocardiography, while lung ultrasound (LUS) can sufficiently detect PC by visualizing LUS-BL. In this trial, we sought to evaluate the impact LUS-BL-guided intensive HF management post-discharge on outcome of HF patients discharged with residual LUS-BL up to 1 year after discharge. IMP-OUTCOME is a prospective, single-centre, single-blinded, randomized cohort study, which is designed to investigate if LUS-BL-guided intensive HF management post-discharge in patients with residual LUS-BL could improve the clinical outcome up to 1 year after discharge or not. METHODS AND RESULTS: After receiving the standardized treatment of HF according to current guidelines, 318 patients with ≥3 LUS-BL assessed by LUS within 48 h before discharge will be randomly divided into the conventional HF management group and the LUS-BL-guided intensive HF management group at 1:1 ratio. Patient-related basic clinical data including sex, age, blood chemistry, imaging examination, and drug utilization will be obtained and analysed. LUS-BL will be assessed at 2 month interval post-discharge in both groups, but LUS-BL results will be enveloped in the conventional HF management group, and diuretics will be adjusted based on symptom and physical examination results with or without knowing the LUS-BL results. Echocardiography examination will be performed for all patients at 12 month post-discharge. The primary endpoint is consisted of the composite of readmission for worsening HF and all-cause death during follow up as indicated. The secondary endpoints consisted of the change in the New York Heart Association classification, Duke Activity Status Index, N terminal pro brain natriuretic peptide value, malignant arrhythmia event and 6 min walk distance at each designed follow up, echocardiography-derived left ventricular ejection fraction, and number of LUS-BL at 12 month post-discharge. Safety profile will be recorded and managed accordingly for all patients. CONCLUSIONS: This trial will explore the impact of LUS-BL-guided intensive HF management on the outcome of discharged HF patients with residual LUS-BL up to 1 year after discharge in the era of sodium-glucose cotransporter-2 inhibitors and angiotensin receptor blocker-neprilysin inhibitor. TRIAL REGISTRATION: ClinicalTrials.gov: NCT05035459.


Assuntos
Diabetes Mellitus Tipo 2 , Insuficiência Cardíaca , Edema Pulmonar , Inibidores do Transportador 2 de Sódio-Glicose , Assistência ao Convalescente , Estudos de Coortes , Diabetes Mellitus Tipo 2/complicações , Progressão da Doença , Insuficiência Cardíaca/complicações , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/tratamento farmacológico , Humanos , Alta do Paciente , Prognóstico , Estudos Prospectivos , Volume Sistólico , Função Ventricular Esquerda
12.
Front Microbiol ; 13: 811990, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35197954

RESUMO

Gut microbiota play a significant role for animals to adapt to the changing environment. Host species and habitats are key drivers in shaping the diversity and composition of the microbiota, but the determinants of composition of the sympatric host gut microbiome remain poorly understood within an ecosystem. In this study, we examined the effects of habitats of different succession stages and host species on the diversity and composition of fecal gut microbiota in four sympatric rodent species (Apodemus draco, Leopoldamys edwardsi, Niviventer confucianus, and Niviventer fulvescens) in a subtropical forest. We found, as compared to the differences between species, habitat types showed a much larger effect on the gut microbiota of rodents. Alpha diversity of the microbial community of A. draco, N. fulvescens, and N. confucianus was highest in farmland, followed by primary forest and shrubland, and lowest in secondary forest. Beta diversity of the three rodent species showed significant different among habitats. The alpha diversity of gut microbiota of L. edwardsi was significantly higher than those of A. draco and N. confucianus, and its beta diversity showed significant difference from A. draco. Our results suggested that gut microbiota were important for animals in responding to diet changes in different habitats under human disturbances.

13.
Cardiovasc Drugs Ther ; 36(3): 505-509, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-33779938

RESUMO

BACKGROUND: Heart failure (HF) is one of the most serious health concerns worldwide. Anemia is a highly prevalent comorbidity and outcome predictor in HF patients. Sodium glucose co-transport 2 (SGLT2) inhibitors have been demonstrated to reduce the risk of cardiovascular death and HF hospitalization in HF patients. PURPOSE: This investigator-initiated, interventional, prospective, double-blind, multicenter study is designed to investigate whether anemia correction is one of the prerequisites and determinants related to the beneficial effects of dapagliflozin in HF patients. METHODS AND RESULTS: Up to 2030 HF participants receiving standard care will be randomly assigned to either oral dapagliflozin 10 mg once daily or placebo 10 mg once daily for 12 months. The primary outcome is the composite incidence of hospital admission for HF and all-cause death. Secondary outcomes include change in the Kansas City Cardiomyopathy Questionnaire (KCCQ) score and change in 6-min walk distance and hemoglobin level. Patients will be followed for 12 months after randomization. CONCLUSIONS: The ADIDAS trial offers an opportunity to assess the hemoglobin change and association between hemoglobin change and readmissions due to heart failure and all-cause death in patients with heart failure treated with dapagliflozin or placebo. This study could highlight if dynamic hemoglobin change is related to the outcome for HF patients. TRIAL REGISTRATION: ClinicalTrials.gov ; NCT04707261. Registration date, 2020/12/01, "retrospectively registered".


Assuntos
Anemia , Insuficiência Cardíaca , Anemia/diagnóstico , Anemia/tratamento farmacológico , Compostos Benzidrílicos , Glucosídeos , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/tratamento farmacológico , Humanos , Estudos Prospectivos , Volume Sistólico
14.
Front Pediatr ; 9: 757551, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34970516

RESUMO

Objectives: Hypothermic cardiopulmonary bypass (HCPB) has been used successfully in cardiac surgery for more than half a century, although adverse effects have been reported with its use. Many studies on temperature management during CPB published to date have shown that normothermic CPB (NCPB) provides more benefits to children undergoing cardiac surgery. The present meta-analysis investigated the effect of NCPB on clinical outcomes based on results of randomized controlled trials and observational studies on pediatric cardiac surgery. Methods: Databases such as PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Clinical Trials.gov were searched from inception to May 2021 to identify relevant studies published in English. Results: The present meta-analysis included 13 studies characterizing a total of 837 pediatric patients. The random effects model exhibited that the NCPB group had reduced revision for postoperative bleeding [odds ratio (OR): 0.11; 95% confidence interval (CI): 0.01-0.89; I 2 = 0%, P = 0.04], serum lactate 2-4 h after CPB (mean difference: -0.60; 95% CI: -1.09 to -0.11; I 2 = 82%, P = 0.02), serum creatinemia 24 h after CPB (mean difference: -2.73; 95% CI: -5.06 to -0.39; I 2 = 83%, P = 0.02), serum creatinemia 48 h after CPB (mean difference: -2.08; 95% CI: -2.78 to -1.39; I 2 = 0%, P < 0.05), CPB time (mean difference: -19.10, 95% CI: -32.03 to -6.18; I 2 = 96%, P = 0.04), and major adverse events (OR: 0.37; 95% CI: 0.15-0.93; Z = 2.12, P = 0.03) after simple congenital surgery compared with the HCPB group. Conclusion: NCPB is as safe as HCPB in pediatric congenital heart surgery. Moreover, NCPB provides more advantages than HCPB in simple congenital heart surgery.

15.
Transl Pediatr ; 10(10): 2602-2613, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34765484

RESUMO

BACKGROUND: Preterm birth (PTB) rates have been increased significantly in recent years, mostly due to obstetric intervention. This study presents the incidence of PTB in community hospitals by assessing the association between pregnancy complications and iatrogenic PTB. METHODS: A total of 6,693 pregnancies were enrolled in the Wuxi Maternity and Child Health Care Hospital of Nanjing Medical University. They were divided into two groups (<35 and ≥35 years of age) to examine the effect of maternal age on PTB. Binary logistic and multiple linear regression analyses were used to assess the relationship between PTB and pregnancy complications. RESULTS: This study provided the incidence of PTB and found that PP, PROM, and ICP increased the risk of PTB, indicating that pregnancy complications have led to the iatrogenic PTB and contributed to the high rate of PTB, especially in the group of advanced-age pregnant women. The prevalence of PTB was 9.53%. Placenta previa (PP), premature rupture of membranes (PROM), and intrahepatic cholestasis of pregnancy (ICP) were significantly associated with PTB. Among all the risk factors, hypertension, disease in pregnancy, premature PROM, and PP were observed as independent key factors for iatrogenic PTBs. In the advanced-age group, PP and pPROM increased the risk of PTB. CONCLUSIONS: It is often necessary to terminate a pregnancy in community hospitals to balance the safety of the fetus and the maternal comorbid symptoms, which has led to nosocomial premature delivery. Therefore, high-risk pregnancies should be carefully evaluated and comprehensively treated with caution to balance the preterm rate and the safety of the pregnant woman and fetus, and the pros and cons of the outcomes, which has brought a challenge to an obstetrician to reduce the proportion of iatrogenic PTB.

16.
Appl Opt ; 60(33): 10292-10298, 2021 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-34807036

RESUMO

In a fiber-optic disk accelerometer, the strain distribution of sensing fiber is crucial for the improvement of sensitivity. The distribution characteristics of axial and radial strain in the sensing fiber are analyzed by the finite-element method, and the influence of strain distribution on the sensitivity of accelerometer is studied. Sensors with different outer radii of sensing fiber coils are designed and manufactured, and their performance is tested. The resonant frequencies are greater than 200 Hz, and the sensitivity increases as the outer radius of the sensing fiber coil increases. The dynamic range of the sensor with maximum sensitivity is 145.8 dB@100 Hz, and the transverse cross talk is 32.5 dB. Among the sensing fiber strain calculation methods we tested to predict the value of sensitivity, using the strain of sensing fiber directly obtained by the finite-element analysis method shows the smallest error with experimental results (within 7%). It is concluded that in the optical fiber strain disk, the absolute values of axial strain and radial strain of sensing fiber decrease with the increase of disk radius, while the signs of axial strain and radial strain of the ipsilateral sensing fiber are opposite and remain unchanged. The sensitivity can be further improved by optimizing the inner and outer radius of the sensing fiber coils, which is very important for the research and design of high-sensitivity fiber-optic accelerometers.

17.
Appl Opt ; 60(30): 9352-9357, 2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34807071

RESUMO

In this paper, an underwater fiber-optic sensor based on surface plasmon resonance (SPR) and multimode interference (MMI) is presented for simultaneous measurement of salinity and pressure. This sensor is based on a single-mode-multimode-single-mode-multimode-single-mode structure with a gold film deposited on the middle single-mode fiber and the fiber structure is wrapped around an elastic cylinder to constitute a sensing head. In the fiber structure, the SPR region produces a resonance dip to measure salinity, and the independent MMI region achieves narrow and salinity-insensitive interference dips to measure pressure. Performance of the sensor is predicted by calculation, and the MMI spectrum is simulated by using the finite-difference beam propagation method. By experimental tests for salinity and pressure, the sensitivities of 0.36 nm/‰ and -1.42nm/MPa are achieved, respectively, and the cross talk is also proved to be insignificant. This study provides an important application direction for SPR-MMI sensors and a prospective method for ocean detection.

18.
Curr Mol Med ; 2021 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-34844539

RESUMO

Heart failure (HF) is a serious clinical syndrome, usually occurs at advanced stage of various cardiovascular diseases, featured by high mortality and rehospitalization rate. According to left ventricular (LV) ejection fraction (LVEF), HF has been categorized as HF with reduced EF (HFrEF; LVEF<40%), HF with mid-range EF (HFmrEF; LVEF 40-49%), and HF with preserved EF (HFpEF; LVEF ≥50%). HFpEF accounts for about 50% cases of heart failure, and has become the dominant form of heart failure. The mortality of HFpEF is similar as that of HFrEF. There are no well-documented treatment options that can reduce the morbidity and mortality of HFpEF now. Understanding the underlying pathological mechanisms are essential for the development of novel effective therapy options for HFpEF. In recent years, significant research progress has been achieved on the pathophysiological mechanism of HFpEF. This review aimed to update the research progress on the pathophysiological mechanism of HFpEF.

19.
J Cardiothorac Surg ; 16(1): 233, 2021 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-34391454

RESUMO

BACKGROUND: Atrial fibrillation (AF) is associated with adverse events after cardiac surgery. Multiple studies have reported that posterior pericardiotomy (PP) may be effective for preventing AF after coronary artery bypass grafting (CABG), but some conflicting results have been reported and the quality of evidence from previous meta-analyses has been limited. The present study aimed to systematically evaluate the safety and efficacy of PP for preventing AF after CABG in adults. METHODS: We conducted a quantitative meta-analysis of randomized controlled trials (RCTs) published before May 31, 2021. The primary outcome was AF after CABG under cardiopulmonary bypass. Secondary outcomes included early pericardial effusion, late pericardial effusion, pericardial tamponade, pleural effusion, length of hospital stay, length of intensive care unit (ICU) stay, pulmonary complications, intra-aortic balloon pump use, revision surgery for bleeding, and mortality. RESULTS: Ten RCTs with 1829 patients (910 in the PP group and 919 in the control group) were included in the current meta-analysis. The incidence of AF was 10.3% (94/910) in the PP group and 25.7% (236/919) in the control group. A random-effects model indicated that incidence of AF after CABG significantly lower in the PP group than in the control group (risk ratio = 0.45, 95% confidence interval 0.29-0.64, P < 0.0001). PP also effectively reduced the post-CABG occurrence of early pericardial effusion (RR = 0.28, 95% CI 0.15-0.50; P < 0.05), late pericardial effusion (RR = 0.06, 95% CI 0.02-0.16; P < 0.05), and pericardial tamponade (RR = 0.08, 95% CI 0.02-0.33; P < 0.05) as well as the length of ICU stay (weighted mean difference [WMD] = 0.91,95% CI 0.57-1.24; P < 0.05), while increasing the occurrence pleural effusion (RR = 1.51, 95% CI 1.19-1.92; P < 0.05). No significant differences length of hospital stay (WMD = - 0.45, 95% CI - 2.44 to 1.54, P = 0.66), pulmonary complications (RR = 0.99, 95% CI 0.71-1.39, P = 0.97), revision surgery for bleeding (RR = 0.84, 95% CI 0.43-1.63, P = 0.60), use of IABP (RR = 1, 95% CI 0.61-1.65, P = 1.0), or death (RR = 0.45, 95% CI 0.07-3.03, P = 0.41) were observed between the PP and control groups. CONCLUSIONS: PP may be a safe, effective, and economical method for preventing AF after CABG in adult patients.


Assuntos
Fibrilação Atrial , Derrame Pericárdico , Adulto , Fibrilação Atrial/epidemiologia , Fibrilação Atrial/etiologia , Fibrilação Atrial/prevenção & controle , Ponte de Artéria Coronária/efeitos adversos , Humanos , Masculino , Derrame Pericárdico/epidemiologia , Derrame Pericárdico/etiologia , Derrame Pericárdico/prevenção & controle , Pericardiectomia , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Ensaios Clínicos Controlados Aleatórios como Assunto
20.
Front Aging Neurosci ; 13: 693611, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34267648

RESUMO

OBJECTIVE: We aim to study the effect of precision repetitive transcranial magnetic stimulation (rTMS) over the left parietal cortex on the memory and cognitive function in Alzheimer's disease (AD). METHODS: Based on the resting-state functional magnetic resonance imaging, the left parietal cortex site with the highest functional connectivity to the hippocampus was selected as the target of rTMS treatment. Sixty-nine AD patients were randomized to either rTMS or sham treatment (five sessions/week for a total of 10 sessions). The Mini-Mental State Examination (MMSE), 12-Word Philadelphia Verbal Learning Test (PVLT), and Clinical Dementia Rating (CDR) were assessed at baseline and after the last session. RESULTS: After a 2-week treatment, compared to patients in the sham group, those in the rTMS group scored significantly higher on PVLT total score and its immediate recall subscale score. Moreover, in the rTMS group, there were significant improvements after the 2-week treatment, which were manifested in MMSE total score and its time orientation and recall subscale scores, as well as PVLT total score and its immediate recall and short delay recall subscale scores. In the sham group, the PVLT total score was significantly improved. CONCLUSION: The target site of the left parietal cortex can improve AD patients' cognitive function, especially memory, providing a potential therapy.

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