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1.
ACS Sens ; 8(1): 326-334, 2023 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-36598150

RESUMO

Skin metabolites show huge potential for use in clinical diagnostics. However, skin sampling and analysis workflows are tedious and time-consuming. Here, we demonstrate a vending-machine-style skin excretion sensing platform based on hydrogel-assisted sampling of skin metabolites. In this sensing platform, a sampling probe with hydrogel is held by a robotic arm. The robotic arm manoeuvres the probe to press it onto the forearm of a human subject. Due to the highly hydrophilic nature of the hydrogel, water-soluble metabolites─released by skin─are collected into the hydrogel, leaving behind the nonpolar metabolites. The probe is then inserted into a custom-made open port sampling interface coupled to an electrospray ion source of a high-resolution quadrupole-time-of-flight mass spectrometer. Metabolites in the hydrogel are immediately extracted by a solvent liquid junction in the interface and analyzed using the mass spectrometer. The ion current of the target analyte is displayed on a customized graphical user interface, which can also be used to control the key components of the analytical platform. The automated sampling and analysis workflow starts after the user inserts coins or presents an insurance card, presses a button, and extends an arm on the sampling area. The platform relies on low-cost mechanical and electronic modules (a robotic arm, a single-board computer, and two microcontroller boards). The limits of detection for standard analytes─arginine, citrulline, and histidine─embedded in agarose gel beds were 148, 205, and 199 nM, respectively. Various low-molecular-weight metabolites from human skin have been identified with the high-resolution mass spectrometer.


Assuntos
Líquidos Corporais , Hidrogéis , Humanos , Espectrometria de Massas , Pele , Manejo de Espécimes
2.
Sensors (Basel) ; 23(2)2023 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-36679625

RESUMO

This paper presents the first results of a study of the LH transition on the new spherical Globus-M2 tokamak using the Doppler backscattering (DBS) diagnostic. New data characterizing the H-mode of discharges with higher values of the plasma parameters, such as magnetic field Bt up to 0.9 T and plasma current Ip up to 450 kA, were collected and analyzed. An upgraded neutral beam injection (NBI) system was used to initiate the LH transition. DBS allows the measurement of the poloidal rotation velocity and the turbulence amplitude of the plasma. The multi-frequency DBS system installed on Globus-M2 can simultaneously collect data in different areas spanning from the separatrix to the plasma core. This allowed for the radial profiles of the rotation velocity and electric field to be calculated before and after the LH transition. In addition, the values and temporal evolution of the velocity shear were obtained. The associated turbulence suppression after the transition to the H-mode was investigated using DBS.


Assuntos
Líquidos Corporais , Eletricidade , Campos Magnéticos , Plasma , Rotação
3.
J Vis Exp ; (191)2023 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-36715415

RESUMO

Recently, liquid biopsies have been used to diagnose various diseases, including cancer. Body fluids contain many substances, including cells, proteins, and nucleic acids originating from normal tissues, but some of these substances also originate from the diseased area. The investigation and analysis of these substances in the body fluids play a pivotal role in the diagnosis of various diseases. Therefore, it is important to accurately separate the required substances, and several techniques are developed to be used for this purpose. We have developed a lab-on-a-disc type of device and platform named CD-PRIME. This device is automated and has good results for sample contamination and sample stability. Moreover, it has advantages of a good acquisition yield, a short operation time, and high reproducibility. In addition, depending on the type of disc to be mounted, plasma containing cell-free DNA, circulating tumor cells, peripheral blood mononuclear cells, or buffy coats can be separated. Thus, the acquisition of a variety of materials present in the body fluids can be done for a variety of downstream applications, including the study of omics.


Assuntos
Líquidos Corporais , Neoplasias , Humanos , Leucócitos Mononucleares , Reprodutibilidade dos Testes , Biópsia Líquida
4.
Methods Mol Biol ; 2625: 183-200, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36653644

RESUMO

Lipids are important and abundant constituents of all biological tissues and body fluids. In particular, phospholipids (PLs) constitute a major part of the cellular membrane and play a role in signal transduction, and some selected PLs are increasingly considered as potential disease markers. Unfortunately, methods of lipid analysis are less established in comparison to techniques of protein analysis. Mass spectrometry (MS) is an increasingly used technique to analyze lipids, especially in combination with electrospray ionization MS, which is the most commonly used ionization technique in lipidomics. Matrix-assisted laser desorption/ionization coupled to time-of-flight MS (MALDI-TOF MS) has itself proven to represent a useful tool in the field of lipid analysis. 31P nuclear magnetic resonance (NMR) spectroscopy, another powerful method for PL analysis, represents a direct quantitative method and does not suffer from suppression effects.This paper gives an overview of methodological aspects of MALDI-TOF MS and 31P NMR in lipid research and summarizes the specific advantages and drawbacks of both methods. In particular, suppression effects in MS will be highlighted, and possible ways to overcome this problem, e.g., the use of different matrices and separation of the relevant lipid mixture prior to analysis, will be discussed.


Assuntos
Líquidos Corporais , Fosfolipídeos , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Fosfolipídeos/química , Espectroscopia de Ressonância Magnética/métodos , Espectrometria de Massas por Ionização por Electrospray , Líquidos Corporais/química
5.
Invest Ophthalmol Vis Sci ; 64(1): 9, 2023 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-36648415

RESUMO

Purpose: Pathologic myopia (PM) is one of the primary causes of blindness. This study aims to explore the possible relations between the composition of microRNA in vitreous exosomes of patients with PM and the progression of myopic maculopathy. Methods: Vitreous humor (VH) samples were collected from patients undergoing retinal surgery. A total of 15 and 12 VH samples were obtained from patients with PM and control, respectively. The PM group was divided into PM-L (G2) and PM-H groups (G3 and G4) in order to explore differentially expressed microRNAs (DEMs) that account for the relatively poor prognosis in G3 and G4 myopic maculopathy. A Weighted Gene Co-Expression Network Analysis (WGCNA) was conducted to find the persistently altered key microRNAs in myopic maculopathy progression. The Gene Ontology (GO) enrichment analysis and Kyoto Encyclopedia of Genes and Genome (KEGG) pathway enrichment analysis were used. Results: High purity exosomes were extracted from the vitreous fluid of patients with PM and control. The top five downregulated DEMs of PM-H versus PM-L can reflect the tendency of deterioration of PM-H myopic maculopathy. MiR-143-3p and miR-145-5p, which were found in WGCNA, may participate in the development of myopic maculopathy. These microRNAs all relate to the insulin resistance pathway. Conclusions: This is the first study to explore the relations between the progression of myopic maculopathy and vitreous exosomal microRNAs. Vitreous exosomal miR-143-3p and miR-145-5p can be considered biomarkers for patients with PM, and the vitreous exosomal DEM associated with PM-H may represent alarming signals of myopic maculopathy deterioration.


Assuntos
Líquidos Corporais , Exossomos , Degeneração Macular , MicroRNAs , Miopia Degenerativa , Doenças Retinianas , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Miopia Degenerativa/genética , Corpo Vítreo/metabolismo , Exossomos/genética , Exossomos/metabolismo
6.
Indian J Pathol Microbiol ; 66(1): 75-80, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36656214

RESUMO

Introduction: In the diagnosis of malignant tumors, cytological examinations of various body fluids are useful. For the preparation of body fluid, many methods are used till date. The use of liquid-based cytology is new upcoming in the field. Aim: To examine the performance of liquid-based cytology on body cavity fluids as compared to conventional cytopreparatory techniques. Methodology: In the present study, 700 body fluid samples were processed by both liquid- based cytology (BD SurePath™) and conventional cytopreparatory technique (Thick & Thin). The performance of both techniques was compared in terms of "smear quality" and "overall diagnostic test performance." Results: Out of 155 body fluid samples from proven malignancy patients, 32 (20.65%) were reported as Positive for malignancy, 23 (14.84%) as Suspicious of malignancy, and 100 (64.51%) as Negative for malignancy by CS (Thick and Thin). A total of 44 (28.39%) were reported as Positive for malignancy, 12 (7.74%) as Suspicious of malignancy, and 99 (63.87%) as Negative for malignancy by LBC. Conclusion: Liquid-based cytology is advantageous over conventional techniques in cytomorphology of body fluids, but not better in sensitivity and specificity. Also saves cytopathologist's valuable time for screening.


Assuntos
Líquidos Corporais , Neoplasias , Humanos , Citodiagnóstico/métodos , Neoplasias/diagnóstico , Neoplasias/patologia , Sensibilidade e Especificidade
7.
Lett Appl Microbiol ; 76(1)2023 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-36688761

RESUMO

In neonate calves, the association between gut microbial colonization and passive immunity acquisition remains largely unknown. We evaluated the effect of transition from colostrum to milk on the hindgut microbiota, and the correlations between acquired passive immunity and this microbiome. In 14 Holstein calves, colostrum quality and host passive immunity were measured, feces were sampled when feeding colostrum and after transition to milk. Then, in eight calves displaying a wide range of passive immunity, the hindgut microbiota was evaluated with DNA sequencing; differential abundance was analyzed with Maaslin2. With transition from colostrum to milk, many initial bacterial colonizers did not survive; genus Ralstonia decreased, but Lactobacillus and Bacteroides increased. When feeding colostrum, the amount of immunoglobulins consumed positively correlated with abundance of Lactobacillaceae and Lachnospiraceae, but Escherichia-Shigella and Clostridium sensu stricto 1 correlated negatively with host passive immunity. After transition to milk, acquired passive immunity negatively correlated with Clostridium sensu stricto 1, Ralstonia, and Veillonella. Overall, many initial hindgut colonizers did not thrive during transition from colostrum to milk, homogenizing the bacterial profile with prevalence of milk digesters. Several bacterial taxa showed strong correlation with host passive immunity, suggesting an interplay between calf passive immunity acquisition and the colonizing microbiota.


Assuntos
Líquidos Corporais , Leite , Feminino , Gravidez , Animais , Bovinos , Colostro , Animais Recém-Nascidos , Bactérias
8.
Methods Mol Biol ; 2630: 135-143, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36689181

RESUMO

MicroRNAs (miRNAs) comprise a large group of small noncoding RNAs within a heterogeneous entity of noncoding RNAs, forming potent functional tools regulating the crucial biological processes within cells and the body. Cell-free miRNAs have become one of the novel promising diagnostic, predictive, and prognostic biomarkers for various diseases extensively investigated in recent years. This is due to their presence within extracellular fractions of various body fluids suggesting their potential as noninvasive "liquid biopsy" in case of their dysregulated expression.Among the body fluids, blood plasma and serum along with urine are the most commonly investigated sources of various types of cell-free miRNAs. Another body fluid, i.e., ascites (effusion, peritoneal/pleural fluid) may be the clinically important fluid particularly associated with carcinogenesis in ovarian carcinomas and hepatocellular carcinomas or in case of liver cirrhosis.Here, we provide a protocol for an expression profiling study based on qPCR analyses aimed at finding novel candidate miRNAs via small-scale or large-scale screening and evaluation experiments using liquid biopsies of blood plasma, ascites, and urine. Using this approach may be worth in cases where no (or limited) information is available on miRNA expression in particular diseases and geographic regions, for validation of previously published miRNAs with promising diagnostic potential, particularly in situations where follow-up study is aimed at validating miRNAs coming from (micro) array or NGS experiments, or where funding for large-scale experiments is not available. We demonstrate that assessment of plasma, ascites, and urine miRNAs expression may represent a feasible method to explore the potential for finding novel diagnostic, predictive, and prognostic biomarkers for various diseases.


Assuntos
Líquidos Corporais , MicroRNA Circulante , MicroRNAs , Feminino , Humanos , MicroRNAs/genética , Ascite , Seguimentos , Biomarcadores , Líquidos Corporais/metabolismo , Plasma/química , Biomarcadores Tumorais
9.
Biosensors (Basel) ; 13(1)2023 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-36671947

RESUMO

Circulating body fluids such as blood, urea, saliva, cerebrospinal fluid, etc [...].


Assuntos
Técnicas Biossensoriais , Líquidos Corporais , Saliva , Biomarcadores , Ureia
10.
Int J Mol Sci ; 24(2)2023 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-36674583

RESUMO

The increasing demand for portable and wearable electronics has promoted the development of safe and flexible yarn-based batteries with outstanding electrochemical properties. However, achieving superior energy storage performance with a high active material (AM) load and long cycle life with this device format remains a challenge. In this study, a stable and rechargeable high-performance aqueous Ni-Fe yarn battery was constructed via biscrolling to embed AMs within helical carbon nanotube (CNT) yarn corridors. Owing to the high load of charge storage nanoparticles (NPs; above 97 wt%) and the outer neat CNT layer, the buffered biscrolled Ni-Fe yarn battery demonstrates excellent linear capacity (0.053 mAh/cm) and cycling stability (60.1% retention after 300 charge/discharge cycles) in an aqueous electrolyte. Moreover, our flexible yarn battery exhibits maximum energy/power densities of 422 mWh/cm3 and 7535 mW/cm3 based on the total volume of the cathode and anode, respectively, which exceed those reported for many flexible Ni-Fe batteries. Thus, biscrolled Ni-Fe yarn batteries are promising candidates for next-generation conformal energy solutions.


Assuntos
Líquidos Corporais , Nanopartículas , Nanotubos de Carbono , Fontes de Energia Elétrica , Eletrodos , Eletrônica
11.
Proc Natl Acad Sci U S A ; 120(2): e2213528120, 2023 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-36595700

RESUMO

Flow batteries are a promising energy storage solution. However, the footprint and capital cost need further reduction for flow batteries to be commercially viable. The flow cell, where electron exchange takes place, is a central component of flow batteries. Improving the volumetric power density of the flow cell (W/Lcell) can reduce the size and cost of flow batteries. While significant progress has been made on flow battery redox, electrode, and membrane materials to improve energy density and durability, conventional flow batteries based on the planar cell configuration exhibit a large cell size with multiple bulky accessories such as flow distributors, resulting in low volumetric power density. Here, we introduce a submillimeter bundled microtubular (SBMT) flow battery cell configuration that significantly improves volumetric power density by reducing the membrane-to-membrane distance by almost 100 times and eliminating the bulky flow distributors completely. Using zinc-iodide chemistry as a demonstration, our SBMT cell shows peak charge and discharge power densities of 1,322 W/Lcell and 306.1 W/Lcell, respectively, compared with average charge and discharge power densities of <60 W/Lcell and 45 W/Lcell, respectively, of conventional planar flow battery cells. The battery cycled for more than 220 h corresponding to >2,500 cycles at off-peak conditions. Furthermore, the SBMT cell has been demonstrated to be compatible with zinc-bromide, quinone-bromide, and all-vanadium chemistries. The SBMT flow cell represents a device-level innovation to enhance the volumetric power of flow batteries and potentially reduce the size and cost of the cells and the entire flow battery.


Assuntos
Líquidos Corporais , Brometos , Tamanho Celular , Fibras na Dieta , Zinco
14.
J Dairy Sci ; 106(2): 1089-1096, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36494229

RESUMO

An artificial insemination (AI) company seeks to allocate semen units globally by balancing perceived demand with uncertain product supply, in what is an arduous subjective process. This study aimed to objectivize this process by providing a user-friendly linear programming model to allocate bulls' semen units to regions for the next trimester sales period based on maximum revenue, and to describe the features and outcomes of this model when applied to a sample bull herd and global demand scenario reflective of a leading AI company. The objective function of maximizing revenue was calculated by summing the product of units allocated by bull and region with purchase prices assigned by bull and region. Constraints considered were regional demand for overall units, regional preferences for specific genetic traits, bulls' production capacity, and percentage of bulls' units allocated to a single region. A sensitivity analysis was performed to identify the effects of variables and constraints on total revenue. Production, sales, and bull demographic data from 2018 to 2021 from a leading AI company were used to establish base values and build a sample herd of 61 bulls and 5 global regions. The case study provided a maximum revenue of $8,287,197 in semen sales per trimester, with 634,700 units allocated. Of the 61 bulls in the case study, 9 were not allocated to any region. The most limiting constraint was regional demand, which resulted in a surplus of 274,564 units not allocated. A sensitivity analysis confirmed this finding, with the largest shadow prices assigned to regional demands, and indicated that a single unit increase in regional demand would add up to $14.84 in total revenue.


Assuntos
Líquidos Corporais , Sêmen , Bovinos , Animais , Masculino , Perfil Genético , Inseminação Artificial/veterinária , Fenótipo
15.
J Chromatogr A ; 1688: 463714, 2023 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-36565655

RESUMO

The development of green and miniature extraction methods is always a major and controversial challenge in the field of sample preparation. In this work, in-tube gel electromembrane extraction (IT-G-EME) was developed as a miniaturized extraction device for the extraction of six narcotic drugs (codeine, oxycodone, hydrocodone, tramadol, thebaine, and noscapine) from biological samples. A transparent capillary tube (∼6 cm) was used as a microextraction unit. The middle part of the tube was filled with a narrow plug (∼3 mm) of the agarose gel (3.0% w/v) as a membrane and the other sides were filled with aqueous extractant solution (pH 2.0, 20 µL) and sample solution (pH 5.0, 200 µL). By applying electrical potential (400 V), the target drugs with positive charge were migrated from sample solution toward the extractant solution through gel membrane during short extraction time (5 min). Then, the enriched analytes in extractant solution was analyzed by HPLC-UV. Under the optimized conditions, the calibration curves were linear within the permissible range of 10.0-1500 ng/mL (r2 ≥ 0.991). Limits of detection and extraction recoveries were in the range of 3.0-4.5 ng/mL and 61.9-86.9%, respectively. On the basis of four replications, the repeatability of the method was also evaluated in terms of intra- and inter-day RSDs (%), which did not exceed from 6.6 and 7.9%, respectively in aqueous media. The figures of merit were also assessed in biological samples. Eventually, the developed method was profitably used for simultaneous determination of narcotic drugs in the real urine and plasma samples.


Assuntos
Líquidos Corporais , Água , Codeína , Entorpecentes , Membranas Artificiais
16.
J Environ Sci (China) ; 126: 697-707, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36503794

RESUMO

Indoor particle release from toner printing equipment (TPE) is a major health concern and has received wide attention. In this study, nine printing centers were randomly selected and three working phases were simulated, namely, non-working, normal printing/copying, and heavy printing/copying. The dynamics of the ozone (O3), volatile organic compound (VOC), and particle emissions from TPE were determined by portable detectors. Results showed that particles, VOCs, and O3 were indeed discharged, and particles and VOCs concentrations remained at high levels. Among them, 44% of the rooms represented high-level particle releases. Submicrometer-sized particles, especially nanoparticles, were positively correlated with VOCs, but were inversely proportional to the O3 concentration. Four elements, Ca, Al, Mg and Ni, were usually present in nanoparticles because of the discharge of paper. Si, Al, K, Ni and Pb were found in the submicrometer-sized particles and were consistent with the toner composition. The potential particle precursors were identified, which suggested that styrene was the most likely secondary organic aerosol (SOA) precursor. Overall, the use of the toner formulation and the discharge of paper attribute to the TPE-emitted particles, in which styrene is a specific monitoring indicator for the formation of SOA.


Assuntos
Líquidos Corporais , Nanopartículas , Ozônio , Estireno , Lasers
17.
J Phys Chem Lett ; 14(1): 88-94, 2023 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-36573843

RESUMO

The receptor-binding domain of the SARS-CoV-2 spike mediates the key to binding the virus to the host receptor, but capturing the molecular signal of this spike RBD remains a formidable challenge. Here, we report a new surface-enhanced Raman spectroscopy (SERS) approach, which used gold nanoparticles prepared by low-speed constant-temperature centrifugation by bromine and calcium ions in two cleaning steps as the enhanced substrate to rapidly and accurately detect spike RBD large protein molecules in body fluids. The detection signal was extremely stable, and the orientation of the spike RBD on the enhanced substrate surface was also determined. This approach was specific in distinguishing different SARS-CoV-2 variants of spike RBD, including Delta, Beta, Gamma, and Omicron. Additionally, the enhanced substrate can identify biologically active or inactive spike RBD. This two-step cleaning enhanced substrate opens up opportunities not only for early diagnostics of SARS-CoV-2 virus but also for developing targeted drugs against viruses.


Assuntos
Líquidos Corporais , COVID-19 , Nanopartículas Metálicas , Humanos , Brometos , COVID-19/diagnóstico , Cálcio , Ouro , SARS-CoV-2 , Íons
18.
ACS Appl Mater Interfaces ; 15(1): 2054-2066, 2023 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-36579636

RESUMO

Hydrazine and its derivatives are well-known environmental hazards and biological carcinogens; therefore, there is a great need for a powerful workflow solution for protecting the public from unexpected exposure to toxic contaminants. Recently, functional surface-enhanced Raman scattering (SERS) exhibits enormous benefits in sensing trace biochemical substances due to its fingerprint-like identification of individual molecules, making it an ideal method for detecting and quantifying hydrazine. Herein, for the first time, we integrated the orthogonal chemical reporter strategy with SERS to build an intelligent hydrazine detection platform (orthogonal chemical SERS, ocSERS), in which 4-mercaptobenzaldehyde was incorporated on a nanoimprinted gold nanopillar array, which acted as an orthogonal coupling partner of hydrazine to form Raman active benzaldehyde hydrazone, allowing for sensitively detecting hydrazine with a detection limit of 10-13 M in complex circumstances. Particularly, ocSERS could effectively identify the carcinogen N-nitrosodimethylamine (NDMA) after its reduction to dimethylhydrazine (UDMH), enabling ultrasensitive detection of UDMH (10-13 M). Importantly, ocSERS could not only monitor elevated levels of NDMA in ranitidine due to improper storage but also quantify NDMA in urine and blood after oral administration of NDMA-containing drugs, thereby preventing NDMA overexposure. Therefore, ocSERS represents the first click SERS sensor and may open up a new analytical field.


Assuntos
Líquidos Corporais , Nanopartículas Metálicas , Ouro/química , Hidrazinas , Análise Espectral Raman/métodos , Nanopartículas Metálicas/química
19.
J Am Heart Assoc ; 12(1): e025596, 2023 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-36583422

RESUMO

Background The fractional excretion of urea nitrogen (FEUN) has been used as a renal blood flow index related to cardiac output, and the estimated plasma volume status (ePVS) as a body fluid volume index. However, the usefulness of their combination in acute decompensated heart failure (HF) management is unclear. We investigated the effect of 4 hemodynamic categories according to the high and low FEUN and ePVS values at discharge on the long-term prognosis of patients with acute decompensated HF. Methods and Results Between April 2011 and December 2018, we retrospectively identified 466 patients with acute decompensated HF with FEUN and ePVS values at discharge. Primary end point was postdischarge all-cause death. Secondary end points were (1) the composite of all-cause death and HF readmission, and (2) HF readmission in a time-to-event analysis. The patients were divided into 4 groups according to the high/low FEUN (≥35%, <35%) and ePVS (>5.5%, ≤5.5%) values at discharge: high-FEUN/low-ePVS, high-FEUN/high-ePVS, low-FEUN/low-ePVS, and low-FEUN/high-ePVS groups. During a median follow-up period of 28.1 months, there were 173 all-cause deaths (37.1%), 83 cardiovascular deaths (17.8%), and 121 HF readmissions (26.0%). The Kaplan-Meier curve analysis showed that the high-FEUN/low-ePVS group had a better prognosis than the other groups (log-rank test, P<0.001). In the multivariable Cox regression analysis, the low-FEUN/high-ePVS group had a higher mortality than the high-FEUN/low-ePVS group (hazard ratio, 2.92 [95% CIs, 1.73-4.92; P<0.001]). Conclusions The new classification of the 4 hemodynamic profiles using the FEUN and ePVS values may play an important role in improving outcomes in patients with stable acute decompensated HF.


Assuntos
Líquidos Corporais , Insuficiência Cardíaca , Humanos , Volume Plasmático/fisiologia , Estudos Retrospectivos , Assistência ao Convalescente , Alta do Paciente , Prognóstico , Ureia , Nitrogênio
20.
J Appl Physiol (1985) ; 134(1): 160-171, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36476157

RESUMO

The study aimed to determine the impact of exercise duration on gastrointestinal functional responses and gastrointestinal symptoms (GISs) in response to differing exercise durations. Endurance runners (n = 16) completed three trials on separate occasions, randomized to 1 h (1-H), 2 h (2-H), and 3 h (3-H) of running at 60% V̇o2max in temperate ambient temperature. Orocecal transit time (OCTT) was determined by lactulose challenge, with concomitant breath hydrogen (H2) determination. Gastric slow wave activity was recorded using cutaneous electrogastrography (cEGG) before and after exertion. GIS was determined using a modified visual analog scale (mVAS). OCTT response was classified as very slow on all trials (∼93-101 min) with no trial difference observed (P = 0.895). Bradygastria increased postexercise on all trials (means ± SD: 1-H: 10.9 ± 11.7%, 2-H: 6.2 ± 9.8%, and 3-H: 13.2 ± 21.4%; P < 0.05). A reduction in the normal gastric slow wave activity (2-4 cycles/min) was observed postexercise on 1-H only (-10.8 ± 17.6%; P = 0.039). GIS incidence and gut discomfort was higher on 2-H (81% and 12 counts) and 3-H (81% and 18 counts), compared with 1-H (69% and 6 counts) (P = 0.038 and P = 0.006, respectively). Severity of gut discomfort, total-GIS, upper-GIS, and lower-GIS increased during exercise on all trials (P < 0.05). Steady-state exercise in temperate ambient conditions for 1 h, 2 h, and 3 h instigates perturbations in gastric slow wave activity compared with rest and hampers OCTT, potentially explaining the incidence and severity on exercise-associated GIS.NEW & NOTEWORTHY Exercise stress per se appears to instigate perturbations to gastric myoelectrical activity, resulting in an increase in bradygastria frequency, inferring a reduction in gastric motility. The perturbations to gastrointestinal functional responses instigated by exercise per se, likely contribute to the high incidence and severity level of exercise-associated gastrointestinal symptoms. Cutaneous electrogastrography is not commonly used in exercise gastroenterology research, however, may be a useful aid in providing an overall depiction of gastrointestinal function. Particularly relating to gastrointestinal motility and concerning gastroparesis.


Assuntos
Líquidos Corporais , Corrida , Trato Gastrointestinal , Exercício Físico/fisiologia , Eletromiografia
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