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1.
Appl Opt ; 61(8): 1947-1957, 2022 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-35297886

RESUMEN

A rigid fiber-optic imaging element with high fidelity, high resolution, and high contrast is applied in low-level-light night vision and particle detection devices. Any optical fiber in elements is an image transmission unit. However, the independence and integrity of image transmission are disturbed constantly, resulting in blemishes. This paper studies the formation mechanism of the blemishes of rigid fiber-optic imaging elements. The existence of defects with different sizes in or among the optical fibers, and fiber deformation decreasing light transmission ability are simulated theoretically. Then experiments are carried out to verify the simulation results. It is theoretically concluded that a blemish forms when the equivalent sphere radius (RES) of a stone defect is greater than 1.2 µm in a normal fiber, and 1.1 µm in a taper fiber. The RES of a bubble defect is greater than 1.3 µm in the fiber, which can form blemishes. Excessive deformation of fibers behaving as a clad layer with thickness less than 0.3 µm also results in the formation of blemishes. When fiber deformation and the existence of stone are considered, blemishes can occur as long as the size of the stone defect among the fibers is greater than 0.823 µm. The results provide data support and theoretical guidance in solving blemishes and other fixed pattern noises, and significantly improve the engineering and application level of fiber-optic imaging elements.

2.
BMC Geriatr ; 22(1): 778, 2022 10 03.
Artículo en Inglés | MEDLINE | ID: mdl-36192698

RESUMEN

OBJECTIVES: There is increasing recognition of the importance of neighborhood socioeconomic status (SES) for establishing an age-friendly society. Despite the benefits of improved neighborhood SES, little is known about the link of relative education between individuals and neighborhoods with healthy aging. This study aims to construct a healthy aging index (HAI) accounting for indicators' interlinkages and to test the association of the HAI with relative education between neighborhoods and individuals. METHODS: The study used data from the China Health and Retirement Longitudinal Study from 2011 to 2018, including middle-aged and older adults (≥ 45 years). The final sample comprised 11633 participants residing in 443 neighborhoods with 34123 observations. Based on 13 health indicators, a hybrid method integrating network analysis with TOPSIS was applied to construct a HAI accounting for health interlinkages. Weighted multilevel linear and ordered logistic models were used to estimate the effects of neighborhood education. RESULTS: Among the 11633 participants (mean [SD] age, 58.20 [8.91] years; 6415 women [52.82%]), the mean (SD) HAI was 48.94 (7.55) at baseline, showing a downward trend with age. Approximately 10% of participants had a HAI trajectory characterized by a low starting point and fast decline. A one-year increase in neighborhood education was independently associated with a 0.37-point increase (95% CI, 0.23-0.52) in HAI. Regardless of individual education, each participant tended to gain benefits from a neighborhood with higher education. However, the effects of increased neighborhood education were weaker for individuals whose education was lower than the neighborhood average. CONCLUSIONS: The HAI is an interaction system. Improving neighborhood education was beneficial to healthy aging, but individuals with lower education relative to the neighborhood average may experience poor person-environment fit and obtain fewer benefits from improved neighborhood education. Thus, in the process of improving neighborhood SES, individual-based interventions should be conducted for individuals whose education level is lower than the neighborhood average to achieve person-environment fit.


Asunto(s)
Envejecimiento Saludable , Anciano , Estudios de Cohortes , Femenino , Humanos , Estudios Longitudinales , Persona de Mediana Edad , Características de la Residencia , Clase Social , Factores Socioeconómicos
3.
Phys Rev Lett ; 127(18): 180501, 2021 Oct 29.
Artículo en Inglés | MEDLINE | ID: mdl-34767433

RESUMEN

Scaling up to a large number of qubits with high-precision control is essential in the demonstrations of quantum computational advantage to exponentially outpace the classical hardware and algorithmic improvements. Here, we develop a two-dimensional programmable superconducting quantum processor, Zuchongzhi, which is composed of 66 functional qubits in a tunable coupling architecture. To characterize the performance of the whole system, we perform random quantum circuits sampling for benchmarking, up to a system size of 56 qubits and 20 cycles. The computational cost of the classical simulation of this task is estimated to be 2-3 orders of magnitude higher than the previous work on 53-qubit Sycamore processor [Nature 574, 505 (2019)NATUAS0028-083610.1038/s41586-019-1666-5. We estimate that the sampling task finished by Zuchongzhi in about 1.2 h will take the most powerful supercomputer at least 8 yr. Our work establishes an unambiguous quantum computational advantage that is infeasible for classical computation in a reasonable amount of time. The high-precision and programmable quantum computing platform opens a new door to explore novel many-body phenomena and implement complex quantum algorithms.

4.
BMC Immunol ; 20(1): 49, 2019 12 30.
Artículo en Inglés | MEDLINE | ID: mdl-31888465

RESUMEN

BACKGROUND: Cold stress, which may lead to local and systemic injury, is reported to be related to the immune system, especially the complement system. At present, the lack of effective treatment is a critical issue. Amentoflavone (AF), which can inhibit cold stress-induced inflammation in lung by multiple mechanisms, is the main therapeutic ingredient in plants of the genus Selaginella. RESULTS: In the current study, we found that cold could induce lung inflammation related to the complement system and its downstream pathways. AF treatment significantly inhibited lung inflammation from cold exposure. We presented evidence that AF can bind to complement component 3 (C3) to regulate inflammation-related pathways involving Lck/Yes novel tyrosine kinase (Lyn), protein kinase B (Akt), nuclear factor-κB (NF-κB) and immune factors. Moreover, 30 mg/kg of AF caused significantly greater improvement than 15 mg/kg in reducing the level of C3 in lung tissue. CONCLUSIONS: AF can protect lung tissue from cold exposure. The protective effect may be achieved by inhibition of C3 and negative regulation of the B cell receptor (BCR)/NF-κB signaling pathways and high mobility group box 1 (HMGB1), which ultimately ameliorates the inflammatory response.


Asunto(s)
Biflavonoides/farmacología , Respuesta al Choque por Frío/efectos de los fármacos , Complemento C3/inmunología , FN-kappa B/metabolismo , Neumonía/etiología , Neumonía/metabolismo , Receptores de Antígenos de Linfocitos B/metabolismo , Animales , Biflavonoides/química , Biomarcadores , Biopsia , Modelos Animales de Enfermedad , Proteína HMGB1/metabolismo , Hemodinámica , Masculino , Neumonía/tratamiento farmacológico , Neumonía/patología , Ratas , Flujo Sanguíneo Regional
5.
Plants (Basel) ; 13(13)2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38999654

RESUMEN

The WRKY gene family is ubiquitously distributed in plants, serving crucial functions in stress responses. Nevertheless, the structural organization and evolutionary dynamics of WRKY genes in cotton have not been fully elucidated. In this study, a total of 112, 119, 217, and 222 WRKY genes were identified in Gossypium arboreum, Gossypium raimondii, Gossypium hirsutum, and Gossypium barbadense, respectively. These 670 WRKY genes were categorized into seven distinct subgroups and unequally distributed across chromosomes. Examination of conserved motifs, domains, cis-acting elements, and gene architecture collectively highlighted the evolutionary conservation and divergence within the WRKY gene family in cotton. Analysis of synteny and collinearity further confirmed instances of expansion, duplication, and loss events among WRKY genes during cotton evolution. Furthermore, GhWRKY31 transgenic Arabidopsis exhibited heightened germination rates and longer root lengths under drought and salt stress. Silencing GhWRKY31 in cotton led to reduced levels of ABA, proline, POD, and SOD, along with downregulated expression of stress-responsive genes. Yeast one-hybrid and molecular docking assays confirmed the binding capacity of GhWRKY31 to the W box of GhABF1, GhDREB2, and GhRD29. The findings collectively offer a systematic and comprehensive insight into the evolutionary patterns of cotton WRKYs, proposing a suitable regulatory framework for developing cotton cultivars with enhanced resilience to drought and salinity stress.

6.
Sci Total Environ ; 881: 163401, 2023 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-37044341

RESUMEN

Health risk resulting from non-optimal temperature exposure, referred to as "systematic risk", has been a sustainable-development challenge in the context of global warming. Previous studies have recognized interactions between and among system components while assessing the vulnerability to climate change, but have left open the question of indicator directional interactions. The question is important, not least because indicator directional association analysis provides guidance to address climate risks by revealing the key nodes and pathways. The purpose of this work was to assess health vulnerability to short-term summer heat exposure based on a directional interaction network. Bayesian network model and network analysis were used to conduct a directional interaction network. Using indicator directional associations as weights, a weighted technique for the order of preference by similarity to ideal solution method was then proposed to assess heat-related health vulnerability. Finally, hotspots and coping strategies were explored based on the directional interaction network and health vulnerability assessments. The results showed that (1) indicator directional interactions were revealed in the health vulnerability framework, and the interactions differed between northern and southern China; (2) there was a dramatic spatial imbalance of health vulnerability in China, with the Beijing-Tianjin-Hebei Region and the Yangtze River Basin identified as hotspots; (3) particulate matter and ozone were recognized as priority indicators in the most vulnerable cities of northern China, while summer heat exposure level and variation were priority indicators in southern China; and (4) adaptive capacity could alter the extent of risk; thus, mitigation and adaptation should be implemented in an integrated way. Our study has important implications for strengthening the theoretical basis for the vulnerability assessment framework by providing indicator directional associations and for guiding policy design in dealing with heat-related health vulnerability in China.


Asunto(s)
Adaptación Psicológica , Calor , Teorema de Bayes , Ciudades , Beijing , China
7.
Heliyon ; 9(12): e22751, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38090009

RESUMEN

Prioritizing areas and targets, coordinated with development gaps, is necessary to achieve the sustainable development goals (SDGs) in the face of resource limitations resulting from coronavirus disease 2019 (COVID-19). The SDG interlinkages further exacerbate the difficulty inherent in addressing these goals. However, previous studies failed to consider the indicator interlinkages in the process of aggregate performance assessments and thus cannot identify priorities based on indicator interlinkages and development gaps. This study integrated network analysis and the technique for order of preference by similarity to ideal solution (TOPSIS) method to convert indicator interlinkages into indicator weights and then assessed the aggregate performance of the SDGs. Subsequently, the prioritized provinces and indicators were identified at the subnational level of China based on the aggregate performance of the SDGs, SDG growth rate and indicator interlinkages. The per capita net income of rural residents (2.3.2), the proportion of people living below 50% of the median income (10.2.1), and the under-five mortality rate (3.2.1) were the most contributing indicators to the aggregate performance of the SDGs, while the common challenges dealt with SDG 16, SDG 6, SDG 7 and SDG 12. Moreover, accelerating the development of western provinces would make it possible to overcome the traditional imbalance status, while resource-driven provinces should be paid special attention due to their poor aggregate performance of the SDGs and their lower growth rate. Thus, a coordinating strategy is highly recommended for allocating resources to the priority targets and finally achieving the SDGs.

8.
Front Immunol ; 14: 1094437, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36817443

RESUMEN

Background: Cervical cancer is the fourth most cancer and the fourth leading cause of cancer-related deaths in women worldwide. Current treatment for patients with advanced cervical cancer is limited. And in the urgent demand for novel effective therapies both as the first and the second line treatment for these patients, immunotherapy is developing fast and has made some achievements. Methods: This study incorporated 1,255 topic-related articles and reviews from 1999 to 2022 in the Web of Science Core Collection (WoSCC). The WoS platform, Citespace, and VOS viewer provided the annual distribution of publications and citations, the analysis of researching countries and institutions, references, keywords (co-occurrence analysis, burst analysis, and timeline view analysis), and researching authors, respectively. For clinical trials, 720 trials and 114 trials from ClinicalTrials.gov and ICTRP were retrieved, respectively. And 296 trials were finally incorporated into the analysis. Results: The scientometric analysis showed that the study of immunotherapies in cervical cancer developed fast in recent years. Most publications were from the United States, followed by China. Seven of the top 10 co-cited references belong to clinical trials, and five of them were published in recent five years. There are lots of clinical trials us specific treatment patterns, some of which have represented excellent effects. Conclusions: Both the scientometric analysis of the 1,255 publications and the analysis of clinical trials showed that the field of immunotherapies in cervical cancer developed so fast in recent years. It was found that a lot of clinical trials using various immunotherapies (mainly vaccine therapy, adoptive cell therapy, immune checkpoint blockade, and antibody-drug conjugate) for advanced cervical cancer are currently ongoing or have represented considerable effect. Centered in immunotherapies, immune checkpoint blockades have represented great efficacy and huge potential, especially combined with other therapies such as chemotherapy, targeted therapy, and other immunotherapies.


Asunto(s)
Inmunoconjugados , Neoplasias del Cuello Uterino , Femenino , Humanos , Tratamiento Basado en Trasplante de Células y Tejidos , China , Inmunoterapia
9.
Environ Pollut ; 312: 120020, 2022 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-36028077

RESUMEN

Growing epidemiological evidence has shown that exposure to ambient air pollution contributes to poor sleep quality. However, whether variability in air pollution exposure affects sleep quality remains unclear. Based on a large sample in China, this study linked individual air pollutant exposure levels and temporal variability with subjective sleep quality. Town-level data on daily air pollution concentration for 30 days prior to the survey date were collected, and the monthly mean value, standard deviations, number of heavily polluted days, and trajectory for six common pollutants were calculated to measure air pollution exposure and its variations. Sleep quality was subjectively assessed using the Pittsburgh Sleep Quality Index (PSQI), and a PSQI score above 5 indicated overall poor sleep quality. Multilevel and negative control models were used. Both air pollution exposure and variability contributed to poor sleep quality. A one-point increase in the one-month mean concentration of particulate matter with aerodynamic diameters of ≤2.5 µm (PM2.5) and ≤10 µm (PM10) led to 0.4% (95% confidence interval (CI): 1.002-1.006) and 0.3% (95% CI: 1.001-1.004) increases in the likelihoods of overall poor sleep quality (PSQI score >5), respectively; the odds ratios of a heavy pollution day with PM2.5 and PM10 were 2.2% (95% CI: 1.012-1.032) and 2.2% (95% CI: 1.012-1.032), respectively. Although the mean concentrations of nitrogen dioxide, sulfur dioxide, and carbon monoxide met the national standard, they contributed to the likelihood of overall poor sleep quality (PSQI score >5). A trajectory of air pollution exposure with maximum variability was associated with a higher likelihood of overall poor sleep quality (PSQI score >5). Subjective measures of sleep latency, duration, and efficiency (derived from PSQI) were affected in most cases. Thus, sleep health improvements should account for air pollution exposure and its variations in China under relatively high air pollution levels.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Monóxido de Carbono/análisis , China/epidemiología , Exposición a Riesgos Ambientales/análisis , Dióxido de Nitrógeno/análisis , Material Particulado/análisis , Calidad del Sueño , Dióxido de Azufre/análisis
10.
Artículo en Inglés | MEDLINE | ID: mdl-36293869

RESUMEN

The frequency and duration of extreme temperature events continues to increase worldwide. However, the scale of population exposure and its quantitative relationship with health risks remains unknown on a global scale, limiting our ability to identify policy priorities in response to climate change. Based on data from 171 countries between 2010 and 2019, this study estimated the exposure of vulnerable populations to extreme temperatures, and their contemporary and lag associations with disease burden attributed to non-optimal temperatures. Fixed-effects models and dynamic panel models were applied. Increased vulnerable population exposure to extreme temperatures had adverse contemporary effects on the burden of disease attributed to non-optimal temperature. Health risks stemming from extreme cold could accumulate to a greater extent, exhibiting a larger lag effect. Population exposure to extreme cold was mainly distributed in high-income countries, while extreme heat occurred more in low-income and middle-income countries. However, the association between population exposure to extreme cold and burden of disease was much stronger in low-income and middle-income countries than in high-income countries, whereas the effect size of population exposure to extreme heat was similar. Our study highlighted that differential strategies should be determined and implemented according to the characteristics in different countries.


Asunto(s)
Calor Extremo , Calor , Temperatura , Calor Extremo/efectos adversos , Cambio Climático , Costo de Enfermedad , Frío
11.
Sci Bull (Beijing) ; 67(3): 240-245, 2022 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-36546072

RESUMEN

To ensure a long-term quantum computational advantage, the quantum hardware should be upgraded to withstand the competition of continuously improved classical algorithms and hardwares. Here, we demonstrate a superconducting quantum computing systems Zuchongzhi 2.1, which has 66 qubits in a two-dimensional array in a tunable coupler architecture. The readout fidelity of Zuchongzhi 2.1 is considerably improved to an average of 97.74%. The more powerful quantum processor enables us to achieve larger-scale random quantum circuit sampling, with a system scale of up to 60 qubits and 24 cycles, and fidelity of FXEB=(3.66±0.345)×10-4. The achieved sampling task is about 6 orders of magnitude more difficult than that of Sycamore [Nature 574, 505 (2019)] in the classic simulation, and 3 orders of magnitude more difficult than the sampling task on Zuchongzhi 2.0 [arXiv:2106.14734 (2021)]. The time consumption of classically simulating random circuit sampling experiment using state-of-the-art classical algorithm and supercomputer is extended to tens of thousands of years (about 4.8×104 years), while Zuchongzhi 2.1 only takes about 4.2 h, thereby significantly enhancing the quantum computational advantage.

12.
J Colloid Interface Sci ; 588: 749-760, 2021 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-33317852

RESUMEN

Removing hexavalent chromium (Cr(VI)) from aqueous solution is strategically important. A novel and selective adsorbent was synthesized using a high electron beam irradiation pre-grafting and post-surface ion imprinting method using Cr(VI) and polypropylene (PP) fibers as the template and substrates, respectively. The results obtained using Fourier transform infrared (FTIR) spectroscopy, X-ray photoelectron spectroscopy (XPS), and thermogravimetric analysis (TG) indicated that the prepared sorbent was successfully synthesized. At the same time, the adsorption performances were studied through batch experiments. The results exhibited rapid adsorption kinetics, a wide working pH range, and excellent selectivity and regeneration. The equilibrium adsorption was achieved within 30 min, the maximum sorption capacity of Cr(VI)-IIPs was 156.5 mg g-1 and partition coefficients (PC) was 0.591 mg g-1 uM-1 at 400 mg L-1 initial concentration and 298 K. The relative selectivity coefficients of the ion-imprinted polymer (IIP) for Cr2O72-/HPO42- and Cr2O72-/NO3- were 36.7 and 39.9, respectively. In addition, the prepared sorbent has a negligible loss in adsorption capacity after five cycles. IIP has good application prospects in the selective removal of Cr(VI) ions.

13.
Waste Manag ; 102: 464-473, 2020 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-31743837

RESUMEN

Waste printed circuit boards (WPCBs) contain a large amount of brominated epoxy resins (BERs), which may cause environmental problems. However, BERs degradation under mild conditions is challenging due to the good thermal and chemical stabilities of BERs. This study proposes a mild and efficient method that uses subcritical acetic acid (220 °C-260 °C, 2.6-3.6 MPa) to decompose BERs. BERs swell quickly at 200 °C and are thoroughly decomposed into bisphenol A and phenol at 220 °C when the acetic acid mass concentration and holding time are fixed at 49.90% and 1 h, respectively. Experimental results show that subcritical acetic acid has excellent swelling and catalytic degradation effects on BERs. The quick swelling of BERs allows the free migration of the catalyst in the epoxy network and thus significantly enhances the catalytic degradation effect. Therefore, BERs can be thoroughly decomposed by subcritical acetic acid under mild conditions. Temperature and acetic acid concentration are the major parameters that control the resin degradation rate. Bromine-free oil phase products are obtained at ≥240 °C. The possible decomposition pathway of BERs in subcritical acetic acid is also investigated. Most of the bromine is transformed into HBr and enriched in the aqueous phase. In conclusion, the proposed mild method could be used as a novel practical and industrial procedure for the degradation and debromination of BERs.


Asunto(s)
Residuos Electrónicos , Resinas Epoxi , Ácido Acético , Bromo , Catálisis , Temperatura
14.
ACS Appl Mater Interfaces ; 12(47): 53503-53509, 2020 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-33169964

RESUMEN

The rapid response movement caused by the Marangoni effect, a surface tension gradient-induced mass transfer behavior, has spurred considerable promise for diverse applications from microrobots and microreactors to smart drug delivery. Herein, we fabricated an aligned hollow fiber swimmer that showed self-propel movement on a water surface based on the Marangoni effect. By rational designing of an aligned hollow microstructure and an optimized geometrical shape, this swimmer can move continuously for more than 600 s and the maximum angular velocity can reach 22 rad·s-1. The movement process of the swimmer is clearly monitored by infrared imaging and the process fluid migration. Moreover, this swimmer exhibited a highly controllable motion mode induced by a magnetic field and a concentration gradient. We designed a novel continuous motion system under the heat conversion from solar energy illumination into mechanical energy. This swimmer shows potential application prospects in controlled cargo transportation and convenient energy conversion systems.

15.
Lipids ; 54(5): 265-276, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31087415

RESUMEN

To provide molecular evidence on the thermogenic mechanism of primary brown adipocytes, western blot analysis was used to detect brown adipose tissue (BAT)-specific gene expressions. BAT protects the mammals from hypothermia injury with a large amount of mitochondria and high expression of uncoupling Protein 1 (UCP1), which is the vital protein to determine the heat production in BAT. In our previous study, the compound ZW290 (the structure shown in Fig. 1) was obtained by molecular docking with a UCP1 inducer. In the present study, ZW290 not only significantly upregulated the expression of UCP1 protein (p < 0.01) and its related signaling pathway in the primary brown adipocytes, but also remarkably decreased the mitochondrial membrane potential and the concentration of adenosine triphosphate (ATP) (p < 0.01). Kunming (KM) mice were kept under acute cold exposure (-20°C) to evaluate the preventive and protective effects of ZW290 on cold injury, and revealed its regulating mechanism in vitro. The rectal and body temperatures of ZW290-treated mice were significantly higher than those of the control (or model) group both at room temperature and at -20°C (p < 0.001). Hematoxylin-eosin (HE) staining and immunohistochemistry indicated that ZW290 notably decreased the size of lipid droplets in BAT and increased the content of mitochondria and the expression of UCP1 in BAT and white adipose tissue (WAT). Furthermore, the survival rate showed that ZW290 could prolong the overall survival of mice. Therefore, we obtained the conclusion that ZW290 might transform energy into heat by inhibiting ATP synthesis and increasing the expression of UCP1. Additionally, ZW290 may enhance cold tolerance by increasing heat production through increasing the content of mitochondria and the expression of UCP1 in BAT and WAT.


Asunto(s)
Tejido Adiposo Pardo/metabolismo , Imidazoles/farmacología , Termogénesis , Proteína Desacopladora 1/metabolismo , Regulación hacia Arriba , Adenosina Trifosfato/análisis , Animales , Diferenciación Celular/efectos de los fármacos , Células Cultivadas , Imidazoles/química , Potencial de la Membrana Mitocondrial/efectos de los fármacos , Ratones , Estructura Molecular , Ratas , Ratas Sprague-Dawley
16.
United European Gastroenterol J ; 6(2): 169-180, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29511547

RESUMEN

BACKGROUND: Probiotics are commonly used for the prevention of antibiotic-associated diarrhea (AAD). However, the optimum regimen remains controversial. OBJECTIVE: The objective of this article is to compare and rank the relative efficacy and tolerability among all available probiotic agents for AAD through a network meta-analysis. METHODS: Eligible studies were identified by searching PubMed, Embase, Medline, Cochrane library and Web of Science for randomized controlled trials (RCTs) that examined the efficacy of probiotic therapy for AAD. A random-effects model was applied within a frequentist framework. Quality of evidence was performed by the GRADE approach. The project was prospectively registered with PROSPERO (CRD 42016050776). RESULTS: Fifty-one articles (60 comparisons, 9569 participants), including 10 probiotic interventions, were identified. Lactobacillus rhamnosus GG (LGG) had the highest probability of being ranked best both in effectiveness (odds ratio (OR), 95% confidence interval (CI) = 0.28 (0.17, 0.47)) and tolerance (0.44 (0.23, 0.84)) on prevention of AAD. With regard to reducing Clostridium difficile infection rate, Lactobacillus casei (L. casei) was considered better efficacy (0.04 (0.00, 0.77)) and medium tolerance (0.56 (0.19, 1.66)). Strain combination reported no superiority over single strain in either efficacy or tolerability. CONCLUSIONS: LGG is probably the best option to consider when AAD is indicated. L. casei appears to be the most efficacious choice when associated with severe C. difficile-related cases.

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