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1.
Phys Chem Chem Phys ; 26(9): 7554-7562, 2024 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-38362637

RESUMO

Suffering from the formation of metal-ion dendrites and low storage capacity, MXene materials exhibit unsatisfactory performance in Li and Na storage. In this study, we demonstrate that the MXene V3C2Cl2 structure can induce uniform Li and Na deposition. This is achieved through coherent heterogeneous interface reconstruction and regulated ion tiling by halogen surface termination. The high lattice matching (91% and 99%) between MXenes and Li/Na, along with positive Cl terminal regulation, guides Li/Na ions to nucleate uniformly on the V3C2Cl2 MXene matrix and grow in a planar manner. Cl termination proves effective in regulating Li/Na ions due to its moderate adsorption and diffusion coefficients. Furthermore, upon adsorption onto the Cl-terminated V3C2Cl2 monolayer, Li4 and Na4 clusters undergo dissociation, favoring uniform adsorption over cluster adsorption. V3C2Cl2 MXenes exhibit impressive Li/Na storage capacities of 434.07 mA h g-1 for Li and 217.03 mA h g-1 for Na, surpassing the Li storage capacity of Ti3C2Cl2 by three-fold and the Na storage capacity of V2C by 1.4 times. This study highlights the regulatory role of Cl surface terminals in dendrite formation and Li/Na ion deposition, with potential applications to other metal-ion storage electrodes.

2.
Rev Cardiovasc Med ; 24(12): 349, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39077070

RESUMO

Background: The relationship between novel anthropometric indices, specifically a body shape index (ABSI) and body roundness index (BRI), with abdominal aortic calcification (AAC) or severe AAC (SAAC) is unclear. The aim of our study was therefore to investigate possible relationships between novel anthropometric indices and prevalence of AAC and SAAC. Methods: We obtained U.S. general population data from the National Health and Nutrition Examination Survey between 2013 and 2014. The study used restricted cubic spline (RCS) analysis, multivariable logistic regression modeling, subgroup analysis, and receiver operating characteristic (ROC) curve assessment. We investigated relationships between ABSI or BRI and AAC and SAAC risk. Associations between ABSI or BRI and the degree of AAC were also evaluated using a generalized additive model. Results: The study cohort was comprised of 1062 individuals. The RCS plots revealed a U-shaped curve associating ABSI with AAC risk. A similar trend emerged for SAAC, where the risk initially increased before subsequently decreasing with rising ABSI levels. Additionally, BRI exhibited a positive correlation with both AAC and SAAC risk. As ABSI and BRI values increased, the degree of AAC also increased. In ROC analysis, ABSI displayed a significantly larger area under the curve compared to BRI. Conclusions: ABSI is associated with AAC prevalence following a U-shaped curve. Additionally, BRI is positively correlated with AAC risk. ABSI demonstrates a superior discriminative ability for AAC compared to BRI. Therefore, maintaining an appropriate ABSI and BRI may reduce the prevalence of AAC.

3.
Phys Chem Chem Phys ; 25(34): 22889-22899, 2023 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-37589090

RESUMO

Designing novel two-dimensional (2D) ferroelectric materials by symmetry breaking and studying their mechanisms play important roles in the discovery of new ferroelectric photocatalysts and nanoelectronics. In this study, we have systematically investigated a series of novel ferroelectric 2D HfSnX3 (X = S, Se and Te) monolayers through first-principles calculations. We found that each HfSnX3 monolayer contains a stable ferroelectric phase (FP) and a paraelectric phase (PP). The large polarization (up to 1.64 µC cm-2) in the FP can significantly bend the oxidation reduction potential of water, making HfSnX3 monolayers become excellent ferroelectric photocatalysts. Specifically, by designing a Janus structure to break the symmetry of the PP, we have excitingly obtained a stable Hf2GeSnSe6 (referred to as HGSS) monolayer with triple polarized states. HGSS not only possesses great visible light absorption properties (about 3 × 105 cm-1) as photocatalysts but also successfully solves the dead layer problem previously reported in practical applications. In addition, by constructing a heterostructure with graphene, HGSS has great application in the design of controllable ultrathin p-n junctions. Overall, our study not only predicts a series of potential ferroelectric photocatalytic materials, but also provides valuable insights for designing tunable polarized materials and nanoelectronics.

4.
Phys Chem Chem Phys ; 24(13): 7642-7652, 2022 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-35297434

RESUMO

Two-dimensional (2D) materials have attracted widespread attention due to their unique physical and chemical properties. Here, by using density functional theory calculations, we suggest a novel 2D TlPt2S3 material whose layered bulk counterpart was synthesized in 1973. Theoretical calculation results indicate that the exfoliating energy of monolayer and bilayer TlPt2S3 is 34.96 meV Å-2 and 36.03 meV Å-2. We systematically studied the electronic and optical properties of monolayer and bilayer TlPt2S3, and revealed that they are indirect band gap semiconductors with band gaps of 2.26 eV and 2.10 eV, respectively. Monolayer and bilayer TlPt2S3 exhibit superior carrier mobility (901.63 cm2 V-1 s-1 and 13635.04 cm2 V-1 s-1 for electron mobility of the monolayer and bilayer, respectively) and photocatalytic performance (as high as 1 × 105 light absorption coefficient in the visible light region). Interestingly, we find that monolayer TlPt2S3 has significant hydrogen evolution performance, while in the bilayer, the electron band distribution shows complete oxygen evolution ability, which indicates that the proposed monolayer and bilayer TlPt2S3 are potential novel 2D materials suitable for photocatalytic water splitting driven by visible light.

5.
Biochem Biophys Res Commun ; 527(1): 29-36, 2020 06 18.
Artigo em Inglês | MEDLINE | ID: mdl-32446383

RESUMO

Although dysregulated PLOD1 was reported in many cancers, its function in osteocarcoma (OS) progression and potential mechanism are totally unknown. In the present study, we found that the mRNA expression of PLOD1 was significantly upregulated in OS cells and tissues. The high expression of PLOD1 was correlated with the aggressive phenotypes of OS and poor prognosis. Gain- or loss-of-function assays demonstrated that PLOD1 promoted proliferation, migration, and invasion of OS cells in vitro, as well as tumorigenicity and metastasis in vivo. We found that PLOD1 inactivated Hippo-YAP pathway through inhibiting phosphorylation-LATS1 (p-LATS1) and -YAP (p-YAP). Immunofluorescence results validated that nuclear distribution of YAP was increased by PLOD1 overexpression and was decreased by PLOD1 depletion. Furthermore, PLOD1 was demonstrated as a target of miR-34c, which inhibited the luciferase activity of PLOD1 mRNA 3'-UTR and PLOD1 expression at both mRNA and protein levels. The expression of miR-34c was downregulated in OS tissues and negatively correlated with PLOD1 mRNA expression. We found that restoration of PLOD1 abolished the miR-34c induced inhibition of cell growth and invasion. More importantly, miR-34c led to upregulation of p-LATS1 and p-YAP, and reducing of nuclear YAP and TAZ in OS cells. The mice tumors, which formed from miR-34c lentivirus vectors, have relatively low expression of PLOD1 and nuclear YAP staining. Taken together, our findings revealed that PLOD1 promoted tumorigenesis and metastasis in OS, and the dysregulated miR-34c/PLOD1/Hippo pathway affected OS progression, providing a potential therapeutic strategy for treatment.


Assuntos
Neoplasias Ósseas/genética , MicroRNAs/genética , Osteossarcoma/genética , Pró-Colágeno-Lisina 2-Oxoglutarato 5-Dioxigenase/genética , Proteínas Serina-Treonina Quinases/metabolismo , Adolescente , Animais , Neoplasias Ósseas/metabolismo , Neoplasias Ósseas/patologia , Proliferação de Células , Feminino , Regulação Neoplásica da Expressão Gênica , Via de Sinalização Hippo , Humanos , Masculino , Camundongos Endogâmicos BALB C , Metástase Neoplásica/genética , Metástase Neoplásica/patologia , Osteossarcoma/metabolismo , Osteossarcoma/patologia , Fosforilação , Pró-Colágeno-Lisina 2-Oxoglutarato 5-Dioxigenase/metabolismo , Transdução de Sinais , Adulto Jovem
6.
Zhongguo Dang Dai Er Ke Za Zhi ; 22(10): 1125-1130, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-33059812

RESUMO

OBJECTIVE: To study the continuous expression and potential function of circular RNA (circRNA), circ4:150439343|150477468 and circ15:73330849|73343359, in mouse lung development. METHODS: According to the stage of lung development, lung tissue samples were collected from mice on embryonic day 16.5 (E16.5), embryonic day 18.5 (E18.5), and postnatal day 2 (P2). Hematoxylin and eosin staining was performed to observe the morphology of lung tissue. Quantitative real-time PCR (qRT-PCR) was used to measure the mRNA expression of circ4:150439343|150477468 and circ15:73330849|73343359 during late lung development; miRanda and TargetScan were used to predict the target miRNAs of circRNAs, and then GO and KEGG analysis was performed for the target genes to predict the potential function of circRNAs. RESULTS: Type II alveolar epithelial cells were observed in the lung slices of E16.5 mice, with a gradual increase in number. On P2, the pulmonary alveoli expanded rapidly, the pulmonary interstitium became thinner, and the alveolar structure gradually became mature. The results of qRT-PCR showed that the relative expression of circ4:150439343|150477468 was continuously upregulated over time and the relative expression of circ15:73330849|73343359 was first downregulated and then upregulated (P<0.05). The KEGG and GO analysis showed that circRNAs were involved in the Notch, PI3K-Akt, and NF-κB signaling pathways. CONCLUSIONS: Circ4:150439343|150477468 and circ15:73330849|73343359 can participate in lung development through the Notch signaling pathway.


Assuntos
RNA Circular/genética , Animais , Pulmão , Camundongos , MicroRNAs/genética , Fosfatidilinositol 3-Quinases , Reação em Cadeia da Polimerase em Tempo Real
7.
Inorg Chem ; 58(18): 12053-12068, 2019 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-31479261

RESUMO

Two-dimensional (2D) materials have attracted enormous attention in many fields because of their appealing performances. In this contribution, we perform first-principles calculations on the photocatalytic properties of IV-V compounds, along with the design of a functional Schottky device based on a graphene/SiAs van der Waals heterostructure (vdWH). Our results indicate that eight IV-V compound materials are all excellent photocatalysts for water-splitting reactions with high efficiency of visible light, with the conduction band minimum (CBM) and valence band maximum (VBM) both involving the corresponding band-gap region. It is examined whether a weak acid environment is beneficial for the hydrogen production process. Monolayer GeAs is characterized by an excellent absorption coefficient of up to 105-2 × 105 cm-1 in the visible region. The other nanostructures also have a considerable optical absorption as high as approximately half of 105 cm-1. These illustrate fascinating application prospectives for IV-V compounds in photocatalysis for water splitting under the irradiation of visible light, predicting tremendous significance in the fields of energy conversion and hydrogen production. The graphene/SiAs vdWH nanocomposite at the equilibrium state is featured for an n-type Schottky contact. External strain and electric-field applications are employed to practically present the transition for interface contact between the n- and p-type Schottky contacts or between the Schottky and ohmic contacts, which suggests appealing applications for the graphene/SiAs vdWH as a competitive candidate for functional Schottky devices and nanoelectronic materials.

8.
Phys Chem Chem Phys ; 21(28): 15372-15379, 2019 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-31271398

RESUMO

Two-dimensional MoS2-based heterostructures have been given great attention due to their excellent properties. In this work, using first-principles calculations, the photocatalytic performances for overall water splitting and the photocatalytic mechanism of graphitic SiC (g-SiC)/MoS2 van der Waals heterostructures (vdWHs) have been deeply studied compared with the previous report. We align common type-II band edges for the g-SiC/MoS2 vdWH in different configurations, which demonstrates that the reduction and oxidation reactions are conducted on different parts in the g-SiC/MoS2 vdWHs. Besides, the built-in electric field induced by the charge transfer at the interface region can be used to hinder photogenerated e-/h+ from recombining, which is advantageous to the availably enhanced carrier mobility and extended lifetimes. More meaningfully, the g-SiC/MoS2 vdWHs all have considerable optical absorption as high as 105 cm-1 in the visible zone and enhanced absorption capacity in contrast to the separate g-SiC and MoS2 monolayers. Furthermore, owing to the contribution of built-in electric field, the g-SiC/MoS2 vdWH in diverse patterns can be used as an outstanding photocatalyst even under near-infrared light with high efficiency. Overall, these findings predict a promising application prospective for the g-SiC/MoS2 vdWHs as extraordinary photocatalysts for overall water splitting reactions, suggesting the valuable significance in the fields of hydrogen production and energy conversion.

9.
Cell Mol Biol Lett ; 24: 25, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30988675

RESUMO

BACKGROUND: Pulmonary surfactant is the complex mixture of lipid and protein that covers the alveolar surface. Pulmonary surfactant deficiency is one of the main causes of neonatal respiratory distress. Recent studies showed that miRNA plays an important role in lung development, but research into miR-431 regulation of pulmonary surfactant are sparse. In this study, we explored the regulatory role of miR-431-5p in the expression of pulmonary surfactant and identified its potential target gene, Smad4. METHODS: The bioinformatics tool TargetScan was used to predict the targets of miR-431. The expression of miR-431-5p was achieved via transfection of miR-431-5p mimics, an miR-431-5p inhibitor and corresponding negative control. The level of miR-431-5p was determined using quantitative real-time PCR. The CCK8 assay was conducted to confirm cell growth 12 h after transfection with miR-431-5p mimics, inhibitor or NC. Smad4 and surfactant-associated proteins in A549 were analyzed using western blot and quantitative real-time PCR. RESULTS: Smad4 was validated as a target of miR-431 in A549 cells. Overexpression of miR-431 accelerated A549 proliferation and inhibited A549 apoptosis. The mRNA and protein levels for the surfactant proteins (SP-A, SP-B, SP-C and SP-D) were found to be differentially expressed in A549 cells over- or under-expressing miR-431-5p. CONCLUSION: Our results show that miR-431-5p is critical for pulmonary surfactant expression and that its regulation is closely related to the TGF-ß/Smad4 pathway. These results will help us to study the pathophysiological mechanism of lung developmental diseases.


Assuntos
MicroRNAs/metabolismo , Surfactantes Pulmonares/metabolismo , Regiões 3' não Traduzidas/genética , Células A549 , Apoptose/genética , Sequência de Bases , Proliferação de Células/genética , Humanos , MicroRNAs/genética , Proteína Smad4/metabolismo
10.
Zhongguo Dang Dai Er Ke Za Zhi ; 21(3): 287-293, 2019 Mar.
Artigo em Chinês | MEDLINE | ID: mdl-30907356

RESUMO

OBJECTIVE: To study the role of miR-431 in lung development and morphology. METHODS: According to the stage of lung development in rats, Sprague-Dawley rats at embryonic day 16 (E16), embryonic day (E19), embryonic day (E21), postnatal day 1 (P1), postnatal day 3 (P3), postnatal day 7 (P7), postnatal day 14 (P14) and 10 weeks after birth (P10 weeks) were selected, and lung tissue samples were collected for observation. Hematoxylin-eosin staining and transmission electron microscopy were performed to observe the morphology of lung tissue. Fluorescence in situ hybridization and real-time PCR were used to measure the expression of miR-431 during the critical stages of lung development (E19, E21 and P3). RESULTS: The E19 group had the formation of the lamellar body and type II alveolar epithelial cells in the fetal lung tissue. The number of lamellar bodies increased with the increasing gestational age, with aggregation and excretion. Pulmonary alveoli formed rapidly, the lung interstitium became thinner, and the microvascular system became mature after birth. Fluorescence in situ hybridization and real-time PCR showed that the expression of miR-431 gradually decreased with the increasing gestational age (P<0.05). CONCLUSIONS: The systematic and continuous morphological data of lung development is obtained in this experiment. In addition, miR-431 may play an important role in the negative regulation of lung development, which provides basis and direction for further research on the mechanism of lung development and related diseases.


Assuntos
Pulmão , Animais , Feto , Hibridização in Situ Fluorescente , MicroRNAs , Ratos , Ratos Sprague-Dawley
11.
Dev Dyn ; 243(9): 1074-85, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24975394

RESUMO

BACKGROUND: Ryk is a subfamily of receptor tyrosine kinases, which along with Frizzled and Ror, function as Wnt receptors. Vertebrate Ryk intracellular domain (ICD) is released from the cell membrane by a proteolytic cleavage in the transmembrane region and localizes to the nucleus. In C. elegans, Ryk is encoded by the lin-18 gene and regulates the polarity of the P7.p vulval cell. RESULTS: Based on Western blots, we were unable to detect the presence of the cleaved LIN-18 ICD fragment. Functional assays found that LIN-18 intracellular domain is not absolutely required for LIN-18 function, consistent with previous results. However, overexpression of the LIN-18 intracellular domain fragment (LIN-18ICD) weakly enhanced the phenotype of lin-18 loss-of-function mutants. Furthermore, this activity was specific to the serine-rich juxtamembrane region. We also found that the nuclear localization of LIN-18ICD fragment can be regulated by Wnt pathway components including CAM-1/Ror, and by PAR-5/14-3-3. CONCLUSIONS: Release of LIN-18ICD by cleavage at the membrane is not the main mechanism of LIN-18 signaling in vulval cells. However, our results suggest that LIN-18 intracellular domain interacts with Wnt pathway components and a 14-3-3 protein and likely plays a minor role in LIN-18 signaling.


Assuntos
Proteínas de Caenorhabditis elegans/metabolismo , Regulação da Expressão Gênica no Desenvolvimento , Receptores Proteína Tirosina Quinases/metabolismo , Transdução de Sinais/genética , Vulva/embriologia , Animais , Animais Geneticamente Modificados , Caenorhabditis elegans , Proteínas de Caenorhabditis elegans/genética , Feminino , Receptores Proteína Tirosina Quinases/genética , Vulva/metabolismo
12.
Physiol Behav ; 284: 114641, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39019134

RESUMO

OBJECTIVE: We aimed to investigate the neural mechanisms underlying the inhibitory function performance of maritime Search and Rescue (SAR) personnel in states of physical exhaustion. BACKGROUND: SAR missions pose serious challenges to the cognitive function of SAR personnel, especially in extreme environments and physical exhaustion. It is important to understand SAR personnel's cognitive performance and neural activity under exhaustion to improve the efficiency of task execution and ensure work safety. METHOD: Twenty-six maritime SAR personnel were recruited to simulate boat operations until they reached a self-imposed state of exhaustion. The exhaustion state was monitored by maximum heart rate and subjective fatigue scale. Two event-related potentials, N200 and P300, were measured during a Go-Nogo task before and after a session of acute exhaustive tasks. RESULTS: After exhaustion, a marked reduction in accuracy, a notable increase in N200 amplitude, and a substantial decline in P300 amplitude under the Nogo condition were observed compared to the baseline phase. Pre- and post-exhaustion comparisons using standardized low-resolution brain electromagnetic tomography revealed reduced activations in the right middle temporal gyrus's N200 component after exhaustion in SAR personnel during the Nogo condition. CONCLUSION: The results suggest that acute physical exhaustion significantly impacts the inhibition ability of SAR personnel, prolonging the conflict monitoring phase and weakening the response inhibition phase. These findings provide valuable insights into how physical exhaustion affects cognitive functions critical to the safety and effectiveness of SAR operations, and can inform strategies to improve training and equipment to enhance performance under extreme conditions.

13.
Drug Dev Ind Pharm ; 39(8): 1187-96, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22803692

RESUMO

Here we report the application of solid dispersion (SD) technique to improve paclitaxel (PTX) release from poly(ϵ-caprolactone) (PCL)-based film. Paclitaxel solid dispersions (SDs) with either poloxamer188 (PXM) or polyethylene glycol (PEG) were successfully prepared by a melting method and then incorporated into PCL films, which were characterized by scanning electron microscopy (SEM), X-ray diffraction (XRD), differential scanning calorimetry (DSC) and In vitro drug release/dissolution studies. It was found that PTX was faster released from the SDs than the corresponding physical mixtures (PMs) or PTX alone. For the PCL films with almost the same PTX loading, drug release from films containing SDs was remarkably faster than that from the film directly incorporated with PTX particles, and the films containing SDs with PXM exhibited a faster drug release than those with PEG. An increase In the content of PXM had no significant influence on PTX release from the films containing SDs. Incorporation of a higher content of SDs led to slower drug release from PCL films, indicating that PTX loading had a dominating effect on drug release. Through this study, we demonstrated the feasibility of the application of SD technique on the improvement of PTX release from PCL films and offered some beneficial information on modulating drug release behavior by changing the compositions and contents of the SDs-loaded PCL films.


Assuntos
Antineoplásicos Fitogênicos/administração & dosagem , Paclitaxel/administração & dosagem , Poloxâmero/administração & dosagem , Poliésteres/administração & dosagem , Polietilenoglicóis/administração & dosagem , Varredura Diferencial de Calorimetria , Preparações de Ação Retardada , Paclitaxel/química , Solubilidade
14.
IEEE Trans Cybern ; 53(7): 4218-4231, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35316200

RESUMO

Localization is a fundamental and crucial module for autonomous vehicles. Most of the existing localization methodologies, such as signal-dependent methods (RTK-GPS and Bluetooth), simultaneous localization and mapping (SLAM), and map-based methods, have been utilized in outdoor autonomous driving vehicles and indoor robot positioning. However, they suffer from severe limitations, such as signal-blocked scenes of GPS, computing resource occupation explosion in large-scale scenarios, intolerable time delay, and registration divergence of SLAM/map-based methods. In this article, a self-localization framework, without relying on GPS or any other wireless signals, is proposed. We demonstrate that the proposed homogeneous normal distribution transform algorithm and two-way information interaction mechanism could achieve centimeter-level localization accuracy, which reaches the requirement of autonomous vehicle localization for instantaneity and robustness. In addition, benefitting from hardware and software co-design, the proposed localization approach is extremely light-weighted enough to be operated on an embedded computing system, which is different from other LiDAR localization methods relying on high-performance CPU/GPU. Experiments on a public dataset (Baidu Apollo SouthBay dataset) and real-world verified the effectiveness and advantages of our approach compared with other similar algorithms.


Assuntos
Algoritmos , Veículos Autônomos
15.
J Hazard Mater ; 445: 130400, 2023 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-36444806

RESUMO

The development of an efficient catalyst for the simultaneous removal of Cr(VI) and Cr(III) from water is required to eliminate the risk of Cr(III) reconversion in the photocatalytic Cr(VI) reduction process. ZnO with large regions of high-energy {001} and {101} surfaces is often used to degrade various pollutants due to its high activity. However, the more readily available low-energy facets have relatively limited its applications. Here, we report a new strategy that employs a high proportion of {100} plane-exposed ZnO nanosheets for simultaneous photocatalytic Cr(VI) reduction and Cr(III) adsorption. The mechanism of Zn-O co-exposed on the {100} plane as the dual-active centers to jointly promote Cr(VI) reduction and Cr(III) adsorption was clarified at the atomic level. ZnO nanosheets with a high exposure ratio of the {100} plane achieve a total Cr removal rate of over 90% within 120 min under simulated sunlight irradiation, neutral conditions, and a negligible difference in the band structure.

16.
Orthop Surg ; 15(9): 2342-2353, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37427671

RESUMO

OBJECTIVES: Severe symptomatic epidural hematoma (SSEH) is one of the most severe complications following percutaneous endoscopic unilateral laminectomy for bilateral decompression (Endo-ULBD). Considering that this technique has been performed for a short time, no detailed reports have been recently published. Thus, it is critical to gain a better understanding of SSEH occurring in its postoperative period with regard to its incidence, possible causes, outcome, etc., in order to identify relevant management strategies. METHODS: Patients with spinal stenosis who had undergone Endo-ULBD in our department from May 2019 to May 2022 were retrospectively analyzed. Of which, patients with postoperative epidural hematoma were followed-up. The preoperative and postoperative physical conditions of each patient were recorded, and the information related to hematoma removal surgery was recorded in detail. Clinical outcomes were assessed using the visual analogue scale (VAS) and Oswestry disability index (ODI), and the results were classified into "excellent," "good," "fair," or "poor" based on the modified MacNab criteria. The incidence of hematoma with different factors was calculated, and a bar graph was used to compare the difference of the indexes related to hematoma removal between cases, and a line graph was used to reflect the trend of the outcome of each patient within 6 months to evaluate the effect of the treatment. RESULTS: A total of 461 patients with spinal stenosis who underwent Endo-ULBD were enrolled in the study. SSEH occurred in four cases, with an incidence rate of 0.87% (4/461). All these four patients underwent decompression of multiple segments, and three of them had a history of hypertension comorbid with diabetes. Notably, one patient had a past history of hypertension and coronary artery disease and was on postoperative low molecular heparin due to lower extremity venous thrombosis. According to the conditions of the four patients, three types of treatment were used. And with timely treatment, all patients recovered well. CONCLUSION: Despite being a minimally invasive technique, postoperative epidural hematoma remains a severe complication of Endo-ULBD. Therefore, during percutaneous endoscopic surgery, it is essential to enhance the comprehensive perioperative management of patients with Endo-ULBD. Signs related to postoperative hematoma must be recognized and promptly managed. If necessary, satisfactory results can be achieved by using percutaneous endoscopy along the original surgical channel to remove the hematoma.


Assuntos
Hematoma Epidural Espinal , Hipertensão , Estenose Espinal , Humanos , Laminectomia/efeitos adversos , Laminectomia/métodos , Estenose Espinal/cirurgia , Descompressão Cirúrgica/efeitos adversos , Descompressão Cirúrgica/métodos , Estudos Retrospectivos , Vértebras Lombares/cirurgia , Endoscopia/métodos , Hematoma Epidural Espinal/etiologia , Hematoma Epidural Espinal/cirurgia , Progressão da Doença , Resultado do Tratamento
17.
J Pain Res ; 15: 2867-2878, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36124038

RESUMO

Purpose: To evaluate the outcomes, feasibility, and safety of endoscopic unilateral laminectomy, bilateral decompression and discectomy (Endo-ULBDD) for central lumbar spinal stenosis (CLSS) combined with disc herniation (DH). Methods: This study includes 39 patients diagnosed with CLSS combined with DH who met the inclusion criteria and underwent surgery for Endo-ULBDD from April 2020 to March 2021. The mean age of the patients, operation time, hospitalization time, time in bed, and complications were recorded. Patients were followed up for at least 12 months. Visual analog scale (VAS) scores for low-back and lower-limb pain and Oswestry Disability Index (ODI) scores were evaluated preoperatively, before discharge, and at 3, 6, and 12 months postoperatively. To evaluate clinical effectiveness 12 months postoperatively, the modified MacNab criteria were used. Results: The mean age of the patients was 59.9 years, the mean operation time was 82.1 minutes, the mean hospitalization time was 3.7 days, and the mean time in bed was 20.9 hours. The mean VAS scores of low-back and lower-limb pain improved from 5.9 and 7.2 to 2.0 and 1.6, respectively (P < 0.05). The ODI score improved from 56.0 to 16.7 (P < 0.05). The overall excellent-good rate of the modified MacNab criteria was 89.7%. Two kinds of complications occurred in 4 patients (10.3%), including 1 patient whose inferior articular process was excessively removed and 3 patients who suffered from postoperative dysesthesia. No other severe complications were noted. Conclusion: Endo-ULBDD is a safe, feasible, efficient, and minimally invasive approach to treating CLSS combined with DH.

18.
Pain Ther ; 11(4): 1309-1326, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36057015

RESUMO

INTRODUCTION: Recently, large channel endoscopic systems and full endoscopic visualization technique have been used to perform unilateral laminotomy for bilateral decompression (ULBD) treatment for lumbar central spinal stenosis (LCSS). However, various endoscopic systems possess different design parameters, which may affect the technical points and treatment outcomes. The object of this retrospective study was to compare the efficiency, safety, and effectiveness of ULBD under the iLESSYS Delta system versus the Endo-Surgi Plus system. METHODS: In the period from October 2020 to April 2021, ULBD was performed using the iLESSYS Delta system or Endo-Surgi Plus system to treat LCSS. Patients were classified into two groups based on the endoscopy system employed. Patient demographics, perioperative indexes, complications, and imaging characteristics were reviewed. Clinical outcomes were quantified using back and leg visual analog scale (VAS) scores and Oswestry Disability Index (ODI) at the time points of follow-up. RESULTS: Thirty-two patients were assigned to the iLESSYS Delta system group and 37 to the Endo-Surgi Plus system group. In the comparison between the two groups, the Endo-Surgi Plus system possessed a shorter incision length and operation time (p < 0.005), and no statistical differences in other aspects were observed. The dural sacs of both groups were significantly expanded postoperatively compared to preoperatively (p < 0.001). Both groups experienced improvements in VAS and ODI scores at all time points (p < 0.001) and equally low frequency of complications. CONCLUSIONS: Current research suggests that both the Endo-Surgi Plus system and iLESSYS Delta system achieved favorable high safety and clinical outcomes in ULBD for treatment of LCSS. The use of a fully visualized trephine may have increased the efficiency of the Endo-Surgi Plus system. Moreover, the Endo-Surgi Plus system may be associated with a wider decompression range and indications.

19.
J Phys Chem Lett ; 12(45): 11143-11150, 2021 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-34756048

RESUMO

Electrocatalytic reduction of nitrates (NO3RR) selectively generating ammonia (NH3) opens up a new idea for treating nitrates in wastewater, which not only reduces nitrates but also obtains the valuable product ammonia. By first-principles calculations, we explore the activity and selectivity for NO3RR to NH3 of TM/g-C3N4 single-atom catalysts. Six TM/g-C3N4 catalysts (TM = Ti, Os, Ru, Cr, Mn, and Pt) are selected by a four-step screening method. Ru/g-C3N4 is the most promising of these six TM/g-C3N4 catalysts because of its lowest energy barrier and extraordinary selectivity. The origin of the NO3RR activity of Ru/g-C3N4 is explained from the viewpoint of NO3- adsorption. In addition, the hydrogen evolution reaction has also been implied to be uncompetitive for the poor adsorption on H atoms. This work provides a screening mechanism for finding new catalysts for NO3RR to NH3, promotes the development of NO3RR, and provides a stimulating impetus for further experimental exploration.

20.
Bioresour Technol ; 313: 123656, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32561106

RESUMO

Straw as an agricultural byproduct has been recognized as a potential resource. However, open-field straw burning is still the main mean in many regions of the world, which causes the wasting of resource and air pollution. Recently, many technologies have been developed for energy and resource recovery from straw, of which the biological approach has attracted growing interests because of its economically viable and eco-friendly nature. However, pretreatment of straw prior to biological processes is essential, and largely determines the process feasibility, economic viability and environmental sustainability. Thus, this review attempts to offer a critical and holistic analysis of current straw pretreatment technologies and management practices. Specifically, an integrated biological processes coupled with microbial degradation and enzymatic hydrolysis was proposed, and its potential benefits, limitations and challenges associated with future large-scale straw treatment were also elaborated, together with the perspectives and directions forward.


Assuntos
Agricultura , Hidrólise
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