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1.
BMC Nephrol ; 25(1): 63, 2024 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-38395818

RESUMO

BACKGROUND: It is well known that asymptomatic hyperuricemia and gout play an important role in patients with chronic kidney disease (CKD). However, the effect of uric acid-lowering therapy (ULT) on the prognosis of CKD patients with asymptomatic hyperuricemia remains controversial. Therefore, we aim to investigate the influence of ULT on renal outcomes in these patients. METHODS: Comprehensive searches were conducted in PubMed, EMBASE, China National Knowledge Internet (CNKI), and the Cochrane Library, up until January 2024. We included randomized controlled trials (RCTs) that evaluated the effects of ULT on renal outcomes in CKD patients with asymptomatic hyperuricemia. RESULTS: A total of 17 studies were included in the meta-analysis. Compared with placebo or no treatment, ULT preserved the loss of estimated glomerular filtrating rate (eGFR) (Weighted mean difference [WMD] and its 95% confidence intercal(CI): 2.07 [0.15,3.98] mL/min/1.73m2) at long-term subgroup. At the same time, short-term subgroup also proved the preserved loss of eGFR (WMD 5.74[2.09, 9.39] mL/min/1.73m2). Compared with placebo or no treatment, ULT also reduced the increase in serum creatinine (Scr) at short-term (WMD -44.48[-84.03,-4.92]µmol/L) subgroup and long-term (WMD -46.13[-65.64,-26.62]µmol/L) subgroup. ULT was associated with lower incidence of the events of doubling of Scr without dialysis (relative risk (RR) 0.32 [0.21, 0.49], p < 0.001). However, no difference was found for lower incidence of acute kidney injury (AKI) (p = 0.943). CONCLUSIONS: According to our study, ULT is beneficial for slowing CKD progression both in short to long-term follow-ups. Additionally, in patients younger than 60 years old, the protective effect of ULT on renal outcome is more pronounced. However, it showed no significant difference in the incidence of AKI. These findings underscore the importance of considering ULT in clinical strategies for CKD patients with asymptomatic hyperuricemia.


Assuntos
Injúria Renal Aguda , Hiperuricemia , Insuficiência Renal Crônica , Humanos , Pessoa de Meia-Idade , Hiperuricemia/tratamento farmacológico , Hiperuricemia/epidemiologia , Ácido Úrico , Progressão da Doença , Diálise Renal , Insuficiência Renal Crônica/tratamento farmacológico , Insuficiência Renal Crônica/epidemiologia , Injúria Renal Aguda/tratamento farmacológico , Supressores da Gota/uso terapêutico , Supressores da Gota/farmacologia
2.
Anal Chem ; 95(39): 14736-14745, 2023 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-37737121

RESUMO

Easy-to-use, reliable, and real-time methods for detecting heavy metal ion contamination are urgently required, which is a primary concern for water pollution control and human health. However, present methods for this aim are still unable to achieve simultaneous multianalysis for complex real sample detection. Herein, an intellectualized vision-based single-nanoparticle Raman imaging strategy combined with ion-responsive functional nucleic acids (FNAs) was proposed to address these issues. We reported a correspondence between the concentration of the analytes and the density of particles (DOP) of specifically captured nanoparticles to achieve sensitive detection and simultaneous multianalysis of heavy metal ions. The specific detection of Pb2+ (Hg2+) was obtained with a detection linear range from 100 pM to 100 nM (from 500 fM to 100 nM) and limit of detections low to 1 pM (100 fM), with the advantages of good specificity, excellent homogeneity, and reproducibility. Furthermore, the differentiation of different heavy metal ions (Pb2+/Hg2+) was achieved, i.e., the simultaneous multianalysis, based on Raman imaging of the single particle and intelligent machine vision method. Finally, the Raman imaging assay was utilized for real sample analysis, and it provided a powerful and reliable tool for detecting trace Pb2+/Hg2+ in real water samples and facilitated the portable on-site monitoring of heavy metal ions.

3.
Nano Lett ; 22(11): 4301-4306, 2022 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-35609218

RESUMO

Nanomechanical photonic metamaterials provide a wealth of active switching, nonlinear, and enhanced light-matter interaction functionalities by coupling optically and mechanically resonant subsystems. Thermal (Brownian) motion of the nanostructural components of such metamaterials leads to fluctuations in optical properties, which may manifest as noise, but which also present opportunity to characterize performance and thereby optimize design at the level of individual nanomechanical elements. We show that nanomechanical motion in an all-dielectric metamaterial ensemble of silicon-on-silicon-nitride nanowires can be controlled by light at sub-µW/µm2 intensities. Induced changes in nanowire temperature of just a few Kelvin and nonthermal optical forces generated within the structure change the few-MHz Eigenfrequencies and/or picometric displacement amplitudes of motion, and thereby metamaterial transmission. The tuning mechanism can provide active control of frequency response in photonic metadevices and may serve as a basis for bolometric, mass, and micro/nanostructural stress sensing.

4.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 48(10): 1561-1571, 2023 Oct 28.
Artigo em Inglês, Zh | MEDLINE | ID: mdl-38432885

RESUMO

OBJECTIVES: Glaucoma is a leading cause of irreversible blindness, and effective therapies to reverse the visual system damage caused by glaucoma are still lacking. Recently, the stem cell therapy enable the repair and regeneration of the damaged retinal neurons, but challenges regarding the source of stem cells remain. This study aims to investigate a protocol that allows the dedifferentiation of Müller cells into retinal stem cells, following by directed differentiation into retinal ganglion cells with high efficiency, and to provide a new method of cellular acquisition for retinal stem cells. METHODS: Epidermal cell growth factor and fibroblast growth factor 2 were used to induce the dedifferentiation of rat retinal Müller cells into retinal neural stem cells. Retinal stem cells derived from Müller cells were infected with a Trim9 overexpression lentiviral vector (PGC-FU-Trim9-GFP), and the efficiency of viral infection was assessed by fluorescence microscopy and flow cytometry. Retinoic acid and brain-derived neurotrophic factor treatments were used to induce the differentiation of the retinal stem cells into neurons and glial cells with or without the overexpression of Trim9. The expressions of each cellular marker (GLAST, GS, rhodopsin, PKC, HPC-1, Calbindin, Thy1.1, Brn-3b, Nestin, Pax6) were detected by immunofluorescence, PCR/real-time RT-PCR or Western blotting. RESULTS: Rat retinal Müller cells expressed neural stem cells markers (Nestin and Pax6) with the treatment of epidermal cell growth factor and fibroblast growth factor 2. The Thy1.1 positive cell rate of retinal stem cells overexpressing Trim9 was significantly increased, indicating their directional differentiation into retinal ganglion cells after treatment with retinoic acid and brain-derived neurotrophic factor. CONCLUSIONS: In this study, rat retinal Müller cells are dedifferentiated into retinal stem cells successfully, and Trim9 promotes the directional differentiation from retinal stem cells to retinal ganglion cells effectively.


Assuntos
Glaucoma , Células Ganglionares da Retina , Animais , Ratos , Fator Neurotrófico Derivado do Encéfalo , Células Ependimogliais , Fator 2 de Crescimento de Fibroblastos , Nestina , Tretinoína
5.
Environ Sci Technol ; 56(1): 585-594, 2022 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-34933554

RESUMO

Microalgae-based bioremediation presents an alternative to traditional biological wastewater treatment. However, its efficiency is still challenging due to low microalgal activities and growth rate in wastewater. Iron plays an important role in microbial metabolism and is effective to stimulate microbial growth. In this study, a novel approach was proposed to simultaneously promote microalgal activity and nutrient uptake from wastewater using nanoscale zerovalent iron (nZVI), and the underlying molecular mechanism was explored. Compared to the control, 0.05 mg/L of nZVI significantly enhanced biomass production by 113.3% as well as NH4+-N and PO43--P uptake rates by 32.2% and 75.0%, respectively. These observations were attributed to the enhanced metabolic pathways and intracellular regulations. Specifically, nZVI alleviated the cellular oxidative stress via decreased peroxisome biogenesis as indicated by reduced reactive oxygen species, enzymes, and genes involved. nZVI promoted ammonium assimilation, phosphate metabolism, carbon fixation, and energy generation. Moreover, nZVI regulated the biosynthesis and conversions of intracellular biocomposition, leading to increased carotenoid, carbohydrate, and lipid productions and decreased protein and fatty acid yields. The above metabolisms were supported by the regulations of differentially expressed genes involved. This study provided an nZVI-based approach and molecular mechanism for enhancing microalgal activities and nutrient uptake from wastewater.


Assuntos
Microalgas , Águas Residuárias , Biomassa , Ferro , Nutrientes
6.
Mol Ther ; 29(7): 2308-2320, 2021 07 07.
Artigo em Inglês | MEDLINE | ID: mdl-33744467

RESUMO

NLRP3 (NOD-, LRR-, and pyrin domain-containing protein 3) inflammasome activation has emerged as a central mediator of kidney inflammation in diabetic kidney disease (DKD). However, the mechanism underlying this activation in DKD remains poorly defined. In this study, we found that kidney-enriched microRNA-10a and -10b (miR-10a/b), predominantly expressed in podocytes and tubular epithelial cells, were downregulated in kidney from diabetic mice and patients with DKD. High glucose decreased miR-10a/b expression in vitro in an osmolarity-independent manner. miR-10a/b functioned as negative regulators of the NLRP3 inflammasome through targeting the 3'untranslated region of NLRP3 mRNA, inhibiting assembly of the NLRP3 inflammasome and decreasing caspase-1-dependent release of pro-inflammatory cytokines. Delivery of miR-10a/b into kidney prevented NLRP3 inflammasome activation and renal inflammation, and it reduced albuminuria in streptozotocin (STZ)-treated mice, whereas knocking down miR-10a/b increased NLRP3 inflammasome activation. Restoration of miR-10a/b expression in established DKD ameliorated kidney inflammation and mitigated albuminuria in both db/db and STZ-treated mice. These results suggest a novel intervention strategy for inhibiting kidney inflammation in DKD by targeting the NLRP3 inflammasome.


Assuntos
Diabetes Mellitus Experimental/complicações , Nefropatias Diabéticas/patologia , Inflamassomos/metabolismo , Inflamação/patologia , MicroRNAs/genética , Proteína 3 que Contém Domínio de Pirina da Família NLR/metabolismo , Animais , Nefropatias Diabéticas/etiologia , Nefropatias Diabéticas/metabolismo , Humanos , Inflamassomos/genética , Inflamação/etiologia , Inflamação/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos NOD , Proteína 3 que Contém Domínio de Pirina da Família NLR/genética , Podócitos/metabolismo , Podócitos/patologia
7.
Environ Sci Technol ; 55(19): 12801-12808, 2021 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-34523344

RESUMO

Reactions of core-shell iron nanoparticles with metal(loid)s in water can form an array of nanostructures such as Ag-seed/dendrite, As-subshell, U-yolk, Co-hollowshell, and Cs-spot. Nonetheless, there is a lack of profound understanding in the genesis of these amazing geometries. Herein, we propose a concept to unravel the interdiffusion between the core-shell iron nanoparticle and metal(loid)s, where several key interactions including the Kirkendall effect, metal(loid) character effect, and reaction condition effect are involved in determining the structure of the final solid reaction products. Particularly, the architectural growths of metal(loid)s with iron nanoparticles in water can be manipulated mutually or singly by the following factors: standard redox potential difference, magnetic property, electrical charge and conductivity, as well as the iron (hydr)oxide shell structure under different solution chemistry and operation conditions. This contribution provides a theoretical basis to rationalize the architectural genesis of various metal(loid)s with iron nanoparticles, which will benefit the real practice for synthesizing functional iron-based nanoparticles and recovering the rare/precious metal(loid)s by iron nanoparticles from water.


Assuntos
Metaloides , Metais Pesados , Nanopartículas , Poluentes do Solo , Poluentes Químicos da Água , Ferro , Metais , Água , Poluentes Químicos da Água/análise
8.
Vet Res ; 51(1): 20, 2020 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-32093780

RESUMO

Non-structural protein 1 (NS1) of influenza virus is a multifunctional protein that plays an important role in virus replication and virulence. In this study, an acetylation modification was identified at the K108 residue of the NS1 protein of H1N1 influenza virus. To further explore the function of the K108 acetylation modification of the NS1 protein, a deacetylation-mimic mutation (K108R) and a constant acetylation-mimic mutation (K108Q) were introduced into the NS1 protein in the background of A/WSN/1933 H1N1 (WSN), resulting in two mutant viruses (WSN-NS1-108R and WSN-NS1-108Q). In vitro and mouse studies showed that the deacetylation-mimic mutation K108R in the NS1 protein attenuated the replication and virulence of WSN-NS1-108R, while the constant acetylation-mimic mutant virus WSN-NS1-108Q showed similar replication and pathogenicity as the wild-type WSN virus (WSN-wt). The results indicated that acetylation at K108 of the NS1 protein has an important role in the replication and virulence of influenza virus. To further explore the potential mechanism, the type I interferon (IFN-I) antagonistic activity of the three NS1 proteins (NS1-108Q, NS1-108R, and NS1-wt) was compared in cells, which showed that the K108R mutation significantly attenuated the IFN-ß antagonistic activity of the NS1 protein compared with NS1-wt and NS1-108Q. Both NS1-wt and NS1-108Q inhibited the IFN-ß response activated by RIG-I CARD domain, MAVS, TBK1, and IRF3 more efficiently than the NS1-108R protein in cells. Taken together, the results indicated that acetylation at NS1 K108 is important for the IFN antagonistic activity of the NS1 protein and virulence of the influenza virus.


Assuntos
Vírus da Influenza A Subtipo H1N1/fisiologia , Vírus da Influenza A Subtipo H1N1/patogenicidade , Interferon Tipo I/imunologia , Proteínas não Estruturais Virais/metabolismo , Replicação Viral , Acetilação , Animais , Feminino , Camundongos , Camundongos Endogâmicos BALB C , Virulência
9.
Arch Virol ; 164(5): 1459-1467, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30880347

RESUMO

In this study, we describe a novel and rapid method for the construction of a full-length infectious clone (pPPV). The constructed clone contained an engineered EcoRv site that served as a genetic marker and was shown to be infectious when transfected into a monolayer of PK-15 cells. The rescued virus (rPPV) of the infectious clone was found to be indistinguishable from wild-type virus BQ in terms of its biological properties. The generation of this PPV infectious clone provides a potentially powerful tool with which to elucidate the molecular pathogenesis of PPV.


Assuntos
Clonagem Molecular/métodos , Genoma Viral/genética , Parvovirus Suíno/genética , Sequências Repetidas Terminais/genética , Animais , Linhagem Celular , Técnica Indireta de Fluorescência para Anticorpo , Marcadores Genéticos/genética , Técnicas de Amplificação de Ácido Nucleico , Suínos
10.
Biochem Biophys Res Commun ; 506(3): 437-443, 2018 11 30.
Artigo em Inglês | MEDLINE | ID: mdl-30348523

RESUMO

African swine fever virus (ASFV) is a highly pathogenic large DNA virus that causes African swine fever (ASF) in domestic pigs and European wild boars with mortality rate up to 100%. The DP96R gene of ASFV encodes one of the viral virulence factors, yet its action mechanism remains unknown. In this study, we report that DP96R of ASFV China 2018/1 strain subverts type I IFN production in cGAS sensing pathway. DP96R inhibited the cGAS/STING, and TBK1 but not IRF3-5D mediated IFN-ß and ISRE promoters activation. Furthermore, DP96R selectively blocked the activation of NF-κB promoter induced by cGAS/STING, TBK1, and IKKß, but not by overexpression of p65. Moreover, DP96R inhibited phosphorylation of TBK1 stimulated by cGAS/STING activation, and TBK1-induced antiviral response. Finally, truncated mutation analysis demonstrated that the region spanning amino acids 30 to 96 of DP96R was responsible for the inhibitory activity. To our knowledge, this is for the first time that DP96R of ASFV China 2018/1 is reported to negatively regulate type I IFN expression and NF-κB signaling by inhibiting both TBK1 and IKKß, which plays an important role in virus immune evasion.


Assuntos
Vírus da Febre Suína Africana/metabolismo , Proteínas de Membrana/metabolismo , Nucleotidiltransferases/metabolismo , Proteínas Serina-Treonina Quinases/metabolismo , Transdução de Sinais , Proteínas Virais/metabolismo , Vírus da Febre Suína Africana/genética , Animais , Genes Virais , Células HEK293 , Humanos , Interferon beta/metabolismo , NF-kappa B/metabolismo , Fosforilação , Domínios Proteicos , Proteínas Virais/química
11.
Arch Virol ; 163(12): 3345-3349, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30141131

RESUMO

The one-step polymerase chain reaction (one-step PCR) detection assay is an innovative PCR detection method, eliminating nucleic acid extraction steps, in which samples can be directly added to PCR reagents for testing. For simultaneous detection of CDV and CCoV, a sensitive and specific one-step duplex PCR (one-step dPCR) assay was developed with two pairs of primers that were designed based on H and M gene sequences of CDV and CCoV, respectively. The one-step dPCR with optimized detection conditions has high specificity and sensitivity; independent sequencing assays further verified these results.


Assuntos
Infecções por Coronavirus/veterinária , Coronavirus Canino/isolamento & purificação , Vírus da Cinomose Canina/isolamento & purificação , Cinomose/virologia , Reação em Cadeia da Polimerase/métodos , Animais , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/virologia , Coronavirus Canino/classificação , Coronavirus Canino/genética , Primers do DNA/genética , Cinomose/diagnóstico , Vírus da Cinomose Canina/classificação , Vírus da Cinomose Canina/genética , Cães , RNA Viral/genética , Sensibilidade e Especificidade
12.
Environ Sci Technol ; 52(5): 2988-2997, 2018 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-29446929

RESUMO

When zerovalent iron (ZVI) is used in reductive removal of contaminants from industrial wastewater, where dissolved oxygen (DO) competes with target contaminant for the electrons donated by ZVI, both the reactivity and the electron selectivity (ES) of ZVI toward target contaminant are critical. Thus, the reactivity and ES of two sulfidated ZVI (S-ZVI) samples, synthesized by ball-milling with elemental sulfur (S-ZVIbm) and reacting with Na2S (S-ZVINa2S), toward Cr(VI) under aerobic conditions were investigated. Sulfidation appreciably increased the reactivity of ZVI and the ratio of the rate constants for Cr(VI) removal by S-ZVIbm or S-ZVINa2S to their counterparts without sulfur fell in the range of 1.4-29.9. ES of S-ZVIbm and S-ZVINa2S toward Cr(VI) were determined to be 14.6% and 13.3%, which were 10.7- and 7.5-fold greater than that without sulfidation, respectively. This was mainly ascribed to the greater improving effect of sulfidation on the reduction rate of Cr(VI) than that of DO by ZVI. The improving effects of sulfidation on the performance of ZVI were mainly due to the following mechanisms: sulfidation increased the specific surface area of ZVI, the FeS x layer facilitated the enrichment of Cr(VI) anions on S-ZVI surface because of its anions selective property and favored the electron transfer from Fe0 core to Cr(VI) at the surface because of its role as efficient electron conductor.


Assuntos
Cromatos , Poluentes Químicos da Água , Elétrons , Ferro , Oxigênio
13.
Acta Biochim Biophys Sin (Shanghai) ; 50(12): 1190-1199, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30383193

RESUMO

Colorectal cancer (CRC) is the one of the most common malignant tumors worldwide. Recent years, widespread long non-coding RNAs (lncRNAs) have been discovered and are known to regulate gene expression in cancers. However, the roles and underlying mechanisms of lncRNA in CRC remain largely unclear. Here, we firstly revealed that repression of lncRNA nuclear paraspeckle assembly transcript 1 (NEAT1) inhibited cell proliferation and migration in HCT116 cells and overexpression of NEAT1 promoted cell proliferation and migration in SW480 cells using CCK8 assay and transwell assay. Then, we found that suppression of NEAT1 increased the miR-196a-5p expression in HCT116 cells, while elevation of NEAT1 decreased the miR-196a-5p expression in SW480 cells using qPCR assay. Furthermore, miR-196a-5p could bind to the predicted binding site of NEAT1. We then found that miR-196a-5p was involved in the role of NEAT1 in CRCs. In addition, we demonstrated that miR-196a-5p mimics inhibited the glial cell-derived neurotrophic factor (GDNF) expression in HCT116 cells and meanwhile, miR-196a-5p inhibitor promoted GDNF expression in SW480 cells using qPCR and western blot analysis. Then, we proved that miR-196a-5p exerted its function via regulating GDNF expression in CRCs. Ultimately, our study demonstrated that NEAT1 exerted its role via miR-196a-5p/GDNF axis in CRCs. In summary, this work provided the first evidence of a NEAT1/miR-196a-5p/GDNF regulatory pathway in CRC.


Assuntos
Movimento Celular/genética , Proliferação de Células/genética , Regulação Neoplásica da Expressão Gênica , Fator Neurotrófico Derivado de Linhagem de Célula Glial/genética , MicroRNAs/genética , RNA Longo não Codificante/genética , Sequência de Bases , Linhagem Celular Tumoral , Sobrevivência Celular/genética , Neoplasias Colorretais/genética , Neoplasias Colorretais/metabolismo , Neoplasias Colorretais/patologia , Fator Neurotrófico Derivado de Linhagem de Célula Glial/metabolismo , Células HCT116 , Células HT29 , Humanos , Interferência de RNA , Homologia de Sequência do Ácido Nucleico
14.
Nano Lett ; 17(8): 4853-4859, 2017 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-28692279

RESUMO

Significantly enhanced electric field in plasmonic hot spots can dramatically increase the linear and nonlinear absorption of light, leading to a high-temperature electron gas which radiates, through mainly intraband transition, a broadband luminescence quite similar to blackbody radiation. Here, we demonstrate that such hot-electron intraband luminescence (HEIL) can also be achieved by exploiting the significantly enhanced electric field at the magnetic dipole resonances of gallium arsenide (GaAs) nanospheres (NSs). We show that monocrystalline GaAs NSs with distinct electric and magnetic dipole (ED and MD) resonances can be obtained by using femtosecond laser ablation and annealing. Significantly enhanced second harmonic generation and broadband HEIL are observed when the MD resonances of such GaAs NSs are resonantly excited. The lifetime of the HEIL is found to be as short as ∼82 ps, indicating a significant enhancement in radiative intraband transition rate. We reveal that the slope extracted from the dependence of the HEIL intensity on the irradiance is linearly proportional to the energy of the emitted photon. The existence of distinct ED and MD resonances in combination with a direct bandgap makes GaAs NSs an attractive candidate for constructing novel all-dielectric metamaterials and active photonic devices.

15.
Oncologist ; 22(11): 1362-1367, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28739870

RESUMO

BACKGROUND: China is the most populous country in the world, but access to palliative care is extremely limited. A better understanding of the development of palliative care programs in China and how they overcome the barriers to provide services would inform how we can further integrate palliative care into oncology practices in China. Here, we describe the program development and infrastructure of the palliative care programs at three Chinese institutions, using these as examples to discuss strategies to accelerate palliative care access for cancer patients in China. METHODS: Case study of three palliative care programs in Chengdu, Kunming, and Beijing. RESULTS: The three examples of palliative care delivery in China ranged from a comprehensive program that includes all major branches of palliative care in Chengdu, a program that is predominantly inpatient-based in Kunming, and a smaller program at an earlier stage of development in Beijing. Despite the numerous challenges related to the limited training opportunities, stigma on death and dying, and lack of resources and policies to support clinical practice, these programs were able to overcome many barriers to offer palliative care services to patients with advanced diseases and to advance this discipline in China through visionary leadership, collaboration with other countries to acquire palliative care expertise, committed staff members, and persistence. CONCLUSION: Palliative care is limited in China, although a few comprehensive programs exist. Our findings may inform palliative care program development in other Chinese hospitals. IMPLICATIONS FOR PRACTICE: With a population of 1.3 billion, China is the most populous country in the world, and cancer is the leading cause of death. However, only 0.7% of hospitals offer palliative care services, which significantly limits palliative care access for Chinese cancer patients. Here, we describe the program development and infrastructure of three palliative care programs in China, using these as examples to discuss how they were able to overcome various barriers to implement palliative care. Lessons from these programs may help to accelerate the progress of palliative cancer care in China.


Assuntos
Neoplasias/tratamento farmacológico , Neoplasias/epidemiologia , Cuidados Paliativos , China/epidemiologia , Cuidados Paliativos na Terminalidade da Vida , Humanos , Neoplasias/patologia
16.
Opt Express ; 25(13): 15093-15107, 2017 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-28788941

RESUMO

Gold nanorods (GNRs) are generally considered to be nontoxic to normal and cancer cells. They are usually accumulated at lysosomes after entering into cells, forming GNR clusters in which strong plasmonic coupling between GNRs is expected. We investigated the photothermal therapy of single cancer cells by exploiting the significantly enhanced two-photon-induced absorption of GNR clusters naturally created in the lysosomes of cancer cells. It was revealed numerically that the plasmonic coupling between GNRs in GNR clusters can effectively enhance the photothermal conversion efficiency. As a result, the thermal damage of single cancer cells can be induced by using pulse energy as low as ~70 pJ. In experiments, the locations of GNR clusters can be accurately determined through the detection of the two-photon-induced luminescence, which is also significantly enhanced, by using a confocal laser scanning microscope. The photothermal therapy was conducted by focusing femtosecond laser light on the targeted GNR clusters, generating bubbles and deforming cell membranes. The photothermal therapy proposed in this work can lead to the rapid and acute injury of single cancer cells. The dependence of the apoptosis time on the pulse energy of femtosecond laser light was also examined. Our findings suggest a novel strategy for the photothermal therapy of single cancer cells with ultralow energy.


Assuntos
Ouro , Hipertermia Induzida , Nanotubos , Fototerapia , Linhagem Celular Tumoral , Humanos , Terapia a Laser , Lasers , Luminescência , Neoplasias/terapia , Espectrofotometria Ultravioleta
17.
Environ Sci Technol ; 51(23): 13533-13544, 2017 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-29135239

RESUMO

Sulfidation has gained increasing interest in recent years for improving the sequestration of contaminants by zerovalent iron (ZVI). In view of the bright prospects of the sulfidated ZVI (S-ZVI), this review comprehensively summarized the latest developments in sulfidation of ZVI, particularly that of nanoscale ZVI (S-nZVI). The milestones in development of S-ZVI technology including its background, enlightenment, synthesis, characterization, water remediation and treatment, etc., are summarized. Under most circumstances, sulfidation can enhance the sequestration of various organic compounds and metal(loid)s by ZVI to various extents. In particular, the reactivity of S-ZVI toward contaminants is strongly dependent on S/Fe molar ratio, sulfidation method, and solution chemistry. Additionally, sulfidation can improve the selectivity of ZVI toward targeted contaminant over water under anaerobic conditions. The mechanisms of sulfidation-induced improvement in contaminants sequestration by ZVI are also summarized. Finally, this review identifies the current knowledge gaps and future research needs of S-ZVI for environmental application.


Assuntos
Ferro , Poluentes Químicos da Água , Água , Descontaminação , Compostos Orgânicos
18.
Environ Sci Technol ; 51(9): 5090-5097, 2017 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-28358503

RESUMO

Although the electron selectivity (ES) of zerovalent iron (ZVI) for target contaminant and its utilization ratio (UR) decide the removal capacity of ZVI, little effort has been made to improve them. Taking selenate [Se(VI)] as a target contaminant, this study investigated the coupled influence of aeration gas and Fe(II) on the ES and UR of ZVI. Oxygen was necessary for effective removal of Se(VI) by ZVI without Fe(II) addition. Due to the application of 1.0 mM Fe(II), the ES of ZVI was increased from 3.2-3.6% to 6.2-6.8% and the UR of ZVI was improved by 5.0-19.4% under aerobic conditions, which resulted in a 100-180% increase in the Se(VI) removal capacity by ZVI. Se(VI) reduction by Fe0 was a heterogeneous redox reaction, and the enrichment of Se(VI) on ZVI surface was the first step of electron transfer from Fe0 core to Se(VI). Oxygen promoted the generation of iron (hydr)oxides, which facilitated the enrichment of Se(VI) on the ZVI particle surface. Therefore, the high oxygen fraction (25-50%) in the purging gas resulted in only a slight decrease in the ES of ZVI. Fe(II) addition resulted in a pH drop and promoted the generation of lepidocrocite and magnetite, which benefited Se(VI) adsorption and the following electron transfer from underlying Fe0 to surface-located Se(VI).


Assuntos
Ferro , Ácido Selênico , Elétrons , Oxirredução , Oxigênio , Poluentes Químicos da Água
19.
Environ Sci Technol ; 51(7): 3742-3750, 2017 04 04.
Artigo em Inglês | MEDLINE | ID: mdl-28287255

RESUMO

In this study, the effects of major anions (e.g., ClO4-, NO3-, Cl-, and SO42-) in water on the reactivity of zerovalent iron (ZVI) toward As(III) sequestration were evaluated with and without a weak magnetic field (WMF). Without WMF, ClO4- and NO3- had negligible influence on As(III) removal by ZVI, but Cl- and SO42- could improve As(III) sequestration by ZVI. Moreover, the WMF-enhancing effect on As(III) removal by ZVI was minor in ultrapure water. A synergetic effect of WMF and individual anion on improving As(III) removal by ZVI was observed for each of the investigated anion, which became more pronounced as the concentration of anion increased. Based on the extent of enhancing effects, these anions were ranked in the order of SO42- > Cl- > NO3- ≈ ClO4- (from most- to least-enhanced). Furthermore, the inhibitory effect of HSiO3-, HCO3-, and H2PO4- on ZVI corrosion could be alleviated taking advantage of the combined effect of WMF and SO42-. The coupled influence of anions and WMF was associated with the simultaneous movement of anions with paramagnetic Fe2+ to keep local electroneutrality in solution. Our findings suggest that the presence of anions is quite essential to maintaining or stimulating the WMF effect.


Assuntos
Arsenitos , Ferro , Ânions , Cinética , Campos Magnéticos , Poluentes Químicos da Água
20.
J Sep Sci ; 40(4): 826-833, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27928885

RESUMO

A novel sulfonic acid group containing hydrophilic strong cation-exchange monolith was prepared by in situ coating 5 µm bare silica particles with the copolymers of glycidyl methacrylate and pentaerythritol triacrylate and further sulfonating the prepared polymer matrix with Na2 SO3 inside a 150 µm id capillary. The preparation conditions were investigated, and the method was described in detail. The prepared column was characterized by comparing with its counterparts reported previously in terms of matrix morphology, preparation reproducibility, permeability, swelling-shrinking behavior, mechanical stability, hydrophilicity, binding capacity, and column efficiency. The swelling-shrinking behavior of the present column in solvents of different polarities was negligible, the hydrophobicity could be suppressed at the acetonitrile concentrations higher than 40% v/v, and the binding capacities were 256 µequiv/mL and 20.1 mg/mL for Cu2+ and lysozyme, respectively. The minimum theoretical plate heights were 8, 10, and 13 µm, and the values of the C term in van Deemter equation were 9, 12, and 35 ms for the test analytes of Na+ , thiourea, and cytidine 5'-monophosphate, respectively. This column exhibited an excellent performance in the separations of monovalent inorganic cations, uncharged polar, and charged polar compounds.

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