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1.
Nucleic Acids Res ; 51(7): 3166-3184, 2023 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-36881772

RESUMO

The eukaryotic exon junction complex component Y14 participates in double-strand break (DSB) repair via its RNA-dependent interaction with the non-homologous end-joining (NHEJ) complex. Using immunoprecipitation-RNA-seq, we identified a set of Y14-associated long non-coding RNAs (lncRNAs). The lncRNA HOTAIRM1 serves as a strong candidate that mediates the interaction between Y14 and the NHEJ complex. HOTAIRM1 localized to near ultraviolet laser-induced DNA damage sites. Depletion of HOTAIRM1 delayed the recruitment of DNA damage response and repair factors to DNA lesions and compromised the efficiency of NHEJ-mediated DSB repair. Identification of the HOTAIRM1 interactome revealed a large set of RNA processing factors including mRNA surveillance factors. The surveillance factors Upf1 and SMG6 localized to DNA damage sites in a HOTAIRM1-dependent manner. Depletion of Upf1 or SMG6 increased the level of DSB-induced non-coding transcripts at damaged sites, indicating a pivotal role for Upf1/SMG6-mediated RNA degradation in DNA repair. We conclude that HOTAIRM1 serves as an assembly scaffold for both DNA repair and mRNA surveillance factors that act in concert to repair DSBs.


Assuntos
Quebras de DNA de Cadeia Dupla , RNA Longo não Codificante , DNA , Reparo do DNA por Junção de Extremidades , Reparo do DNA/genética , RNA Longo não Codificante/genética , RNA Mensageiro/genética , Humanos , Linhagem Celular
2.
Am J Pathol ; 193(7): 950-959, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37028594

RESUMO

Klotho is known for its age-suppressing function and has been implicated in sarcopenia pathology. It has recently been proposed that the adenosine A2B receptor plays a crucial role in skeletal muscle energy expenditure. However, the association between Klotho and A2B remains elusive. In this study, Klotho knockout mice, aged 10 weeks, and wild-type mice, aged 10 and 64 weeks, were used for comparison in indicators of sarcopenia (n = 6 for each group). PCR was performed to confirm the mice genotypes. Skeletal muscle sections were analyzed using hematoxylin and eosin staining as well as immunohistochemistry staining. The skeletal muscle cross-sectional area was significantly reduced in Klotho knockout mice and wild-type mice, aged 64 weeks, when compared with wild-type mice, aged 10 weeks, with a decreased percentage of type IIa and IIb myofibers. Likely impaired regenerative capacity, as reflected by the reduction of paired box 7 (Pax7)- and myogenic differentiation protein 1 (MyoD)-positive cells, was also observed in Klotho knockout mice and aged wild-type mice. 8-Hydroxy-2-deoxyguanosine expression was enhanced with Klotho knockout and aging, indicating higher oxidative stress. Adenosine A2B signaling was impaired, with a lower expression of the A2B receptor and the cAMP-response element binding protein in Klotho knockout and aged mice. The present study provides the novel finding that sarcopenia involves adenosine signaling under the influence of Klotho knockout.


Assuntos
Receptor A2B de Adenosina , Sarcopenia , Camundongos , Animais , Receptor A2B de Adenosina/genética , Receptor A2B de Adenosina/metabolismo , Glucuronidase/metabolismo , Mutação com Perda de Função , Sarcopenia/genética , Sarcopenia/metabolismo , Sarcopenia/patologia , Músculo Esquelético/metabolismo , Camundongos Knockout
3.
Opt Express ; 32(8): 13208-13223, 2024 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-38859297

RESUMO

Reading with a bit of yellowish or greenish paper, as compared to white paper, is thought to be more comfortable and friendly, and can help decrease eye fatigue to some degree. In this work, we try to map the light of different colors on a given paper within a region of interest to alter the colors presented by the paper and consequently influence the reading experience. We conducted an ergonomic experiment to study the comfort and clarity under consistent illuminance levels. We adopted 6 color series(red, yellow, green, cyan, blue, and magenta), 5 chroma levels(0, 10, 20, 30, 40), and 4 types of paper with the same hue(yellow) but different lightness(the white, light yellow, yellow, and dark yellow), and conducted pairwise selection experiments within each light color series. Results show that white and low chroma (≈10) color characteristics contribute to comfort, while higher chroma blue(30∼40) color benefits clarity. Referring to white, low chroma greenish and yellowish color characteristics are preferred in terms of comfort and clarity. This work proposes the spectrum mapping technology to endow the paper with new color effects and verifies that although spectrum compositions might differ, people's preferences and comfort perception are consistent with the same object color.

4.
Diabetes Obes Metab ; 26(7): 2839-2849, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38637979

RESUMO

AIM: To explore the link between the RBP4 rs3758539 genotype and metabolic syndrome risk factors and whether the impact of this genetic variation displays any potential race discrepancy. MATERIALS AND METHODS: This meta-analysis followed the PRISMA guidelines and was registered with PROSPERO (registration no. CRD42023407999). PubMed, Web of Science, Embase, Cochrane Library, Google Scholar, Airiti Library and CINAHL databases were used for the study search until October 2023. We evaluated the methodological quality using the Joanna Briggs Institute checklist and determined the correlation using a random-effects meta-analysis. RESULTS: The results indicated that individuals with the rs3758539 GA/AA genotype had a higher risk profile, including lower high-density lipoprotein levels [correlation: -0.045, 95% confidence interval (CI): -0.080 to -0.009, p = .015, I2 = 46.9%] and higher body mass index (correlation: 0.117, 95% CI: 0.036-0.197, p = .005, I2 = 82.0%), body fat (correlation: 0.098, 95% CI: 0.004-0.191, p = .041, I2 = 64.0%), and low-density lipoprotein levels (correlation: 0.074, 95% CI: 0.010-0.139, p = .024, I2 = 0%), of developing metabolic syndrome than those with the GG genotype. The subgroup analysis maintained a significantly positive correlation between the rs3758539 GA/AA genotype and body mass index (correlation: 0.163, 95% CI: 0.031-0.289, p = .016, I2 = 88.9%) but a negative correlation with high-density lipoprotein levels (correlation: -0.047, 95% CI: -0.087 to -0.006, p = .025, I2 = 65.7%) in the Asian group only. CONCLUSION: The current meta-analysis supports a significant link between the RBP4 rs3758539 GA/AA genotype and the metabolic syndrome.


Assuntos
Genótipo , Síndrome Metabólica , Proteínas Plasmáticas de Ligação ao Retinol , Síndrome Metabólica/genética , Humanos , Proteínas Plasmáticas de Ligação ao Retinol/genética , Polimorfismo de Nucleotídeo Único , Predisposição Genética para Doença , Fatores de Risco , Índice de Massa Corporal
5.
BMC Gastroenterol ; 24(1): 165, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38750425

RESUMO

BACKGROUND: Gastroesophageal reflux disease (GERD) is a common global health issue. Previous studies have revealed a higher prevalence of GERD in females than in males, however few studies have investigated sex differences in the risk factors associated with GERD. Therefore, the aim of this population-based study was to examine sex differences in the risk factors for GERD in a large cohort of over 120,000 Taiwanese participants. METHODS: We enrolled 121,583 participants (male: 43,698; female: 77,885; mean age 49.9 ± 11.0 years) from the Taiwan Biobank. The presence of GERD was ascertained using self-reported questionnaires. Sex differences in the risk factors associated with GERD were examined using multivariable logistic regression analysis. RESULTS: The overall prevalence of GERD was 13.7%, including 13.0% in the male participants and 14.1% in the female participants (p < 0.001). Multivariable analysis showed that older age, hypertension, smoking history, alcohol history, low fasting glucose, and low uric acid were significantly associated with GERD in the male participants. In the female participants, older age, diabetes, hypertension, smoking history, alcohol history, low systolic blood pressure, low fasting glucose, high hemoglobin, high total cholesterol, low high-density lipoprotein cholesterol (HDL-C), low low-density lipoprotein cholesterol, and low uric acid were significantly associated with GERD. Significant interactions were found between sex and age (p < 0.001), diabetes (p < 0.001), smoking history (p < 0.001), fasting glucose (p = 0.002), triglycerides (p = 0.001), HDL-C (p = 0.001), and estimated glomerular filtration rate (p = 0.002) on GERD. CONCLUSIONS: Our results showed a higher prevalence of GERD among females compared to males. Furthermore, sex differences were identified in the risk factors associated with GERD, and older age, diabetes, smoking history, and low HDL-C were more closely related to GERD in females than in males.


Assuntos
Refluxo Gastroesofágico , Fumar , Humanos , Refluxo Gastroesofágico/epidemiologia , Masculino , Feminino , Pessoa de Meia-Idade , Taiwan/epidemiologia , Fatores de Risco , Fatores Sexuais , Adulto , Prevalência , Fumar/epidemiologia , Fatores Etários , Hipertensão/epidemiologia , Consumo de Bebidas Alcoólicas/epidemiologia , Diabetes Mellitus/epidemiologia , Ácido Úrico/sangue , Glicemia/análise , Idoso
6.
Int J Med Sci ; 21(8): 1518-1528, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38903920

RESUMO

Close associations among secondhand smoke (SHS) and metabolic syndrome (MetS) and its components have been demonstrated, however sex differences in these associations remain unclear. We collected 121,364 participants from the Taiwan Biobank, and excluded those with smoking history, the remaining 88,297 participants (male: 18,595; female: 69,702; mean age 50.1 ± 11.0 years) were included. SHS exposure was evaluated based on self-reported questionnaires. SHS was associated with MetS (odds ratio [OR], 1.268, p < 0.001 for males vs. 1.180, p < 0.001 for females), abdominal obesity (OR, 1.234, p < 0.001 for males vs. 1.199, p < 0.001 for females), low high-density lipoprotein cholesterol (OR, 1.183, p = 0.008 for males vs. 1.094, p = 0.011 for females), hyperglycemia (OR, 1.286, p < 0.001 for males vs. 1.234, p < 0.001 for females), but not with hypertriglyceridemia. SHS was associated with high blood pressure (BP) (OR, 1.278, p < 0.001) only in males, but not in females. Furthermore, significant interactions were found between sex x SHS on MetS (p = 0.023), abdominal obesity (p = 0.032), and elevated BP (p < 0.001). Moreover, the participants who were exposed to SHS for ≥1 hour per week were associated with a higher risk (OR = 1.316, p = 0.001 in males vs. OR = 1.220, p < 0.001 in females) of MetS compared to those with no exposure. These results showed an association between SHS and a high OR for MetS in both the males and females. Furthermore, sex differences were identified in the associations between SHS and MetS and its components, and SHS was more closely related to MetS, abdominal obesity, and high BP in males than in females.


Assuntos
Síndrome Metabólica , Poluição por Fumaça de Tabaco , Humanos , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/etiologia , Masculino , Feminino , Taiwan/epidemiologia , Pessoa de Meia-Idade , Poluição por Fumaça de Tabaco/efeitos adversos , Poluição por Fumaça de Tabaco/estatística & dados numéricos , Adulto , Fatores Sexuais , Seguimentos , Obesidade Abdominal/epidemiologia , Obesidade Abdominal/complicações , não Fumantes/estatística & dados numéricos , Fatores de Risco , Idoso
7.
Opt Express ; 31(12): 19979-19989, 2023 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-37381402

RESUMO

A flexible channel selection method based on optical combs is proposed for reconfigurable optical channels in this paper. Optical-frequency combs with a large frequency interval are used to modulate broadband radio frequency (RF) signals, and an on-chip reconfigurable optical filter [Proc. of SPIE, 11763, 1176370 (2021).10.1117/12.2587403] is used to perform periodic carrier separation of wideband and narrowband signals and channel selection. In addition, flexible channel selection is achieved by presetting the parameters of a fast-response programmable wavelength-selective optical switch and filter device. Channel selection only relies on the combs through the Vernier effect of the combs and the passbands for different periods and does not require the use an additional switch matrix. Finally, flexible switching between and selection of specific channels for 13 GHz and 19 GHz broadband RF signals are experimentally verified.

8.
Opt Express ; 31(6): 10420-10433, 2023 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-37157589

RESUMO

People spend about 5-8 hours per day on phones, causing circadian disruption and eye fatigue, thus raising a great need for comfort and health. Most phones have eye protection modes, claiming a potential eye protection effect. To examine the effectiveness, we investigated the color quality, namely gamut area and just noticeable color difference (JNCD), and circadian effect, namely equivalent melanopic lux (EML) and melanopic daylight efficacy ratio (MDER), characteristics of two smartphones: iPhone 13 and HUAWEI P30, in normal and eye protection mode. The results show that the circadian effect is inversely proportional to color quality when the iPhone 13 and HUAWEI P30 changed from normal to eye protection mode. The gamut area changed from 102.51% to 82.5% sRGB and 100.36% to 84.55% sRGB, respectively. The EML and MDER decreased by 13 and 15, and, 0.50 and 0.38, respectively, affected by the eye protection mode and screen luminance. The EML and JNCD results in different modes show that the eye protection mode benefits the nighttime circadian effect at the cost of the image quality. This study provides a way to precisely assess the image quality and circadian effect of displays and elucidates the tradeoff relationship between them.


Assuntos
Astenopia , Smartphone , Humanos , Ritmo Circadiano , Astenopia/prevenção & controle
9.
Circ J ; 87(3): 456-462, 2023 02 24.
Artigo em Inglês | MEDLINE | ID: mdl-36261331

RESUMO

BACKGROUND: Previous studies investigating the relationship between hypertension (HT) and hematological parameters report inconsistent results, and most them included a small number of participants or only conducted a cross-sectional analysis of 1 or 2 hematological factors. Moreover, no large cohort follow-up studies have investigated this topic. The aim of this longitudinal study was to explore associations between components of the complete blood count (CBC) and incident HT using data from a large Taiwanese biobankMethods and Results: Hematological parameters including white blood cell (WBC) count, red blood cell (RBC) count, hemoglobin, hematocrit (HCT), and platelet count were evaluated. We included 21,293 participants who did not have HT at baseline and followed them for a mean period of 3.9 years. During follow-up, 3,002 participants with new-onset HT (defined as incident HT) were identified. Univariable analysis revealed that high WBC count, high RBC count, high hemoglobin, high HCT, and low platelet count were associated with incident HT. Multivariable analysis after adjusting potential confounding factors found high WBC count (odds ratio [OR], 1.057; 95% confidence interval [CI], 1.028 to 1.087; P<0.001) and high HCT (OR, 1.023; 95% CI, 1.010 to 1.036; P<0.001) were still significantly associated with incident HT. CONCLUSIONS: High WBC count and high HCT were associated with incident HT.


Assuntos
Hipertensão , Humanos , Seguimentos , Estudos Longitudinais , Estudos Transversais , Contagem de Células Sanguíneas , Contagem de Leucócitos , Hipertensão/epidemiologia , Hemoglobinas
10.
BMC Ophthalmol ; 23(1): 228, 2023 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-37217905

RESUMO

PURPOSE: To compare the effect of traditional conjunctival sac swab sampling (A) with aerosolization ocular surface microorganism sampling (B),a novel microbial sampling method, in detecting ocular microbial infection. METHODS: The study included 61 participants (122 eyes) enrolled at the Eye Hospital, Wenzhou Medical University from December, 2021 to March, 2023. Each eye of the participants underwent sampling first with method A then B.Before aerosolization sampling, the air environment was disinfected and sampled as blank air control sample. Subsequently, the air pulses impinging the ocular surface causes dehiscence of the tear film covering the ocular surface and aerosols are formed.The microorganisms from the ocular surface attach to the aerosols generated as aerosolization ocular surface microorganism and be sampled as subject sample by bio-aerosol sampler.The samples were collected and incubated at 25℃ for 3-5 days and 37℃ for 24-48 h.The colonies were counted and identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. RESULTS: The accuracy in Group B was higher than that in Group A (45.8% vs. 38.3%, P = 0.289). There was a slight level of agreement between the results from both the sampling methods (k = 0.031, P = 0.730). The sensitivity in Group B was higher than that in Group A (57.1% vs. 35.7%, P = 0.453). The specificity results in Group B was higher than that in Group A (44.3% vs. 38.7%, P = 0.480). There were 12 and 37 types of microbes detected in Groups A and B, respectively. CONCLUSIONS: Compared with traditional swab sampling, the novel aerosolization sampling method shows higher accuracy and more comprehensive detection of microbes; however, it cannot completely replace swab sampling. The novel method can be a novel conducive strategy and supplement swab sampling to auxiliary diagnose ocular surface infection.


Assuntos
Olho , Lágrimas , Humanos , Aerossóis/química
11.
J Adolesc ; 95(6): 1168-1178, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37170670

RESUMO

INTRODUCTION: In adolescence, life satisfaction is an early indicator of later psychological well-being. However, researchers know little about how daily family relationships shape adolescent life satisfaction. The current study examined the day-to-day associations between parent-adolescent relationships and life satisfaction, and whether adolescent emotion dysregulation moderated these associations. METHODS: A total of 191 adolescents (Mage = 12.93, SDage = 0.75, 53% female) recruited from junior high schools in Taiwan participated in a 10-day daily diary protocol. We conducted multilevel analyses to examine within-family and between-family processes. RESULTS: At the within-family level, adolescents reported higher life satisfaction on days when parent-adolescent closeness was higher, but lower life satisfaction on days when parent-adolescent conflict was higher. At the between-family level, higher parent-adolescent closeness was associated with greater life satisfaction on average, while parent-adolescent conflict was not related to adolescent life satisfaction. Cross-level interactions indicated that within-family changes in parent-adolescent closeness and conflict were only associated with life satisfaction for adolescents with higher levels of emotion dysregulation, indicating emotion dysregulation may intensify the role of daily parent-adolescent relationships in shaping adolescent life satisfaction. CONCLUSIONS: This study expands current literature and provides novel evidence that changes in day-to-day parent-adolescent relationships have important implications for adolescent life satisfaction, especially for youth higher in emotion dysregulation. The findings underscore the importance of evaluating family and individual characteristics to better support adolescent well-being.


Assuntos
Comportamento do Adolescente , Relações Pais-Filho , Adolescente , Criança , Feminino , Humanos , Masculino , Comportamento do Adolescente/psicologia , Emoções , Relações Familiares , Pais/psicologia
12.
Sensors (Basel) ; 23(3)2023 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-36772125

RESUMO

Low-pressure discharge causes air ionization resulting in performance degeneration or failure for the satellite sensors in outer space. Here, a one-step Crank-Nicolson Direct-Splitting (CNDS) algorithm is proposed to evaluate the electrical behavior of satellite sensors under the low-pressure discharge circumstance. To be more specific, the CNDS algorithm is proposed in the Lorentz medium, which can accurately analyze the ionized air and generated plasma. Higher order perfectly matched layer (PML) is modified in the Lorentz medium to efficiently terminate the unbounded lattice. It can be concluded that the proposed algorithm shows entire considerable performance in the low-pressure discharge evaluation. The proposed PML formulation behaviors enhanced absorbing performance compared with the existing algorithm. Through the experiments, it can be observed that the low-pressure discharge phenomenon causes performance variation, which shows a significant influence on the satellite sensors. Meanwhile, results show considerable agreement between the simulation and experiment results which indicates the effectiveness of the algorithm.

13.
Int J Mol Sci ; 24(6)2023 Mar 16.
Artigo em Inglês | MEDLINE | ID: mdl-36982746

RESUMO

Gut dysbiosis can induce chronic inflammation and contribute to atherosclerosis and vascular calcification. The aortic arch calcification (AoAC) score is a simple, noninvasive, and semiquantitative assessment tool to evaluate vascular calcification on chest radiographs. Few studies have discussed the relationship between gut microbiota and AoAC. Therefore, this study aimed to compare the microbiota composition between patients with chronic diseases and high or low AoAC scores. A total of 186 patients (118 males and 68 females) with chronic diseases, including diabetes mellitus (80.6%), hypertension (75.3%), and chronic kidney disease (48.9%), were enrolled. Gut microbiota in fecal samples were analyzed by sequencing of the 16S rRNA gene, and differences in microbial function were examined. The patients were divided into three groups according to AoAC score, including 103 patients in the low AoAC group (AoAC ≤ 3), 40 patients in the medium AoAC group (3 < AoAC ≤ 6), and 43 patients in the high AoAC group (AoAC > 6). Compared to the low AoAC group, the high AoAC group had a significantly lower microbial species diversity (Chao1 index and Shannon index) and increased microbial dysbiosis index. Beta diversity showed that the microbial community composition was significantly different among the three groups (p = 0.041, weighted UniFrac PCoA). A distinct microbial community structure was found in the patients with a low AoAC, with an increased abundance at the genus level of Agathobacter, Eubacterium coprostanoligenes group, Ruminococcaceae UCG-002, Barnesiella, Butyricimonas, Oscillibacter, Ruminococcaceae DTU089, and Oxalobacter. In addition, there was an increased relative abundance of class Bacilli in the high AoAC group. Our findings support the association between gut dysbiosis and the severity of AoAC in patients with chronic diseases.


Assuntos
Microbioma Gastrointestinal , Insuficiência Renal Crônica , Calcificação Vascular , Masculino , Feminino , Humanos , Microbioma Gastrointestinal/genética , Aorta Torácica , Disbiose/microbiologia , RNA Ribossômico 16S/genética
14.
Gynecol Endocrinol ; 38(11): 928-934, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36050880

RESUMO

Introduction: The efficacy of selenium supplementation was elusive for polycystic ovary syndrome. This meta-analysis aimed to explore the efficacy of selenium supplementation for polycystic ovary syndrome. Methods: PubMed, EMbase, Web of science, EBSCO, Cochrane library database, CNKI, Chongqing VIP database and Wanfang databases have been searched through July 2022 and we included randomized controlled trials (RCTs) reporting the effect of selenium supplementation versus placebo in patients with polycystic ovary syndrome. Results: Five RCTs were included in the meta-analysis. Compared with placebo group for polycystic ovary syndrome, selenium supplementation was associated with significantly reduced total testosterone (SMD=-0.42; 95% CI=-0.78 to -0.06; p = 0.02) and cholesterol (SMD=-0.71; 95% CI=-1.41 to -0.02; p = 0.04), but revealed no remarkable influence on SHBG (SMD=-0.52; 95% CI=-1.29 to 0.25; p = 0.19), triglyceride (SMD=-1.45; 95% CI=-3.62 to 0.73; p = 0.19), LDL (SMD=-0.17; 95% CI=-0.72 to 0.37; p = 0.53), FPG (SMD=-0.95; 95% CI=-3.72 to 1.82; p = 0.50) or HOMA-IR (SMD=-0.51; 95% CI=-3.79 to 2.77; p = 0.76). Conclusions: Selenium supplementation may be able to improve the metabolic response for polycystic ovary syndrome, and this finding should be interpreted with caution.


Assuntos
Síndrome do Ovário Policístico , Selênio , Feminino , Humanos , Síndrome do Ovário Policístico/complicações , Selênio/uso terapêutico , Ensaios Clínicos Controlados Aleatórios como Assunto , Testosterona/uso terapêutico , Suplementos Nutricionais
15.
J Formos Med Assoc ; 121 Suppl 1: S64-S72, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34980548

RESUMO

BACKGROUND: The Taiwanese government launched a universal pay-for-performance (P4P) program in 2006 to promote multidisciplinary care for patients with stage 3b-5 chronic kidney disease (CKD). This study aimed to understand the enrollments, care processes, and outcomes of the P4P program between 2010 and 2018. METHODS: We conducted a population-based study using the Taiwan National Health Insurance Research Data. We divided the incident dialysis population into joining and not joining P4P groups based on whether patients had joined the pre-ESRD program before dialysis or not. Trends in the medications prescribed, anemia correction, vascular access preparation before dialysis initiation, and cumulative survival rate were compared. RESULTS: The program included more than 100,000 patients with late-stage CKD. Enrollment increased by almost 100% from 2010 to 2018, with increases seen in those over 75 years old (127.5%), male (96.7%), and earlier CKD stages (≥35% stage 3b in 2018). Females were more likely to stay being enrolled. The joining P4P group was prescribed more appropriate medications, such as erythropoietin-stimulating agents and statins. However, a high number of patients were still prescribed metformin (≥40%) and non-steroidal anti-inflammatory drugs (≥20%). Compared to the not joining P4P group, the patients in the P4P group had better anemia management, dialysis preparation, and post-dialysis survival. CONCLUSION: The patients in the joining P4P program group were delivered more appropriate CKD care and were associated with better survival outcomes. Polices and action plans are needed to extend the coverage of and enrollment in the P4P program.


Assuntos
Falência Renal Crônica , Reembolso de Incentivo , Idoso , Feminino , Humanos , Falência Renal Crônica/epidemiologia , Falência Renal Crônica/terapia , Masculino , Programas Nacionais de Saúde , Diálise Renal , Taiwan/epidemiologia
16.
Sensors (Basel) ; 22(12)2022 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-35746226

RESUMO

A large number of sensors work in the narrow bandpass circumstance. Meanwhile, some of them hold fine details merely along one and two dimensions. In order to efficiently simulate these sensors and devices, the one-step leapfrog hybrid implicit-explicit (HIE) algorithm with the complex envelope (CE) method and absorbing boundary condition is proposed in the narrow bandpass circumstance. To be more precise, absorbing boundary condition is implemented by the higher order convolutional perfectly matched layer (CPML) formulation to further enhance the absorption during the entire simulation. Numerical examples and their experiments are carried out to further illustrate the effectiveness of the proposed algorithm. The results show considerable agreement with the experiment and theory resolution. The relationship between the time step and mesh size can break the Courant-Friedrichs-Levy condition which indicates the physical size/selection mesh size. Such a condition indicates that the proposed algorithm behaviors are considerably accurate due to the rational choice in discretized mesh. It also shows decrement in simulation duration and memory consumption compared with the other algorithms. In addition, absorption performance can be improved by employing the proposed higher order CPML algorithm during the whole simulation.

17.
Sensors (Basel) ; 22(12)2022 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-35746388

RESUMO

Most terahertz (THz) radar systems can only work in the near-field region, because the THz source power is limited and the size of the target scattered near field is up to tens of kilometers. Such conditions will result in the conventional radar range equation being unsuitable. Therefore, the near-field radar cross section (RCS) formula is given according to the numerical simulation on different targets. By modifying the parameters in the near field, including the gain of radar antennas and the RCS of targets, the generalized radar range equation is proposed. The THz radar working efficiency in the whole range and the simulation of the near-field RCS simulation model were employed to validate its effectiveness. Through comparison with the radar range equation, it can be concluded that the calculation results of the proposed equation are smaller in the near field, and the outcomes in the far field are identical. The proposed generalized radar range equation can be applied to the whole radiation area including the near field and the far field. Furthermore, more complicated real targets are calculated according to the generalized radar range equation and it can be extended from the submillimeter wave band to a much wider band range. Finally, the near-field radar theory is established, which shows its potential application to the radar cross section estimation in the extremely high frequency and fine design of THz radar systems.

18.
Pharm Biol ; 60(1): 1303-1316, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35801991

RESUMO

CONTEXT: Morinda officinalis F.C. How. (MO) (Rubiaceae) can strengthen bone function. OBJECTIVE: To examine the functional mechanism and effect of MO polysaccharides (MOPs) in rats with glucocorticoid-induced osteoporosis (GIOP). MATERIALS AND METHODS: Rats with GIOP were treated with 5, 15 or 45 mL/kg of MOP [n = 15 for each dose, intraperitoneal (i.p.) injection every other day for 8 weeks]. The body weight of rats and histomorphology of bone tissues were examined. Bone marrow mesenchymal stem cells (BMSCs)-derived exosomes (Exo) were collected and identified. Bone marrow-derived macrophages (BMMs) were induced to differentiate into osteoclasts and treated with BMSC-Exo for in vitro studies. RESULTS: MOP reduced the body weight (5, 15, or 45 mg/kg MOP vs. phosphate-buffered saline: 8%, 15% and 25%, p < 0.01), elevated the bone volume to tissue volume (BV/TV), mean trabecular thickness (Tb.Th), mean trabecular number (Tb.N) and mean connectivity density (Conn.D) (40-86%, p < 0.01), decreased the mean trabecular separation/spacing (Tb.Sp) (22-37%, p < 0.01), increased the cortical bone continuity (35-90%, p < 0.01) and elevated RUNX family transcription factor 2 and RANK levels (5-12%, p < 0.01), but suppressed matrix metallopeptidase 9 and cathepsin K levels (9-20%, p < 0.01) in femur tissues. BMSC-Exo from MOP-treated rats (MOP-Exo) suppressed osteoclastic differentiation and proliferation of BMMs. The downregulation of microRNA-101-3p (miR-101-3p) or the upregulation of prostaglandin-endoperoxide synthase 2 (PTGS2) blocked the functions of MOP-Exo. DISCUSSION AND CONCLUSIONS: MOP inhibits osteoclastic differentiation and could potentially be used for osteoporosis management. This suppression may be enhanced by the upregulation of miR-101-3p or the inhibition of PTGS2.


Assuntos
Exossomos , Células-Tronco Mesenquimais , MicroRNAs , Morinda , Osteoporose , Animais , Peso Corporal , Ciclo-Oxigenase 2 , Osteoporose/induzido quimicamente , Osteoporose/tratamento farmacológico , Polissacarídeos/farmacologia , Ratos , Ratos Sprague-Dawley
19.
Zhongguo Yi Liao Qi Xie Za Zhi ; 46(6): 598-601, 2022 Nov 30.
Artigo em Chinês | MEDLINE | ID: mdl-36597382

RESUMO

In order to reduce the work intensity of traditional medical staff on patient patrol and timely understand the status of various indicators of patients, a set of patient intelligent monitoring system which based on Internet of things and cloud platform is designed. This study uses the internet of things technology to monitor the patient's heartbeat, pulse, ballistocardiography, body position, whether out of bed and sleep quality. The data is transmitted through optical fiber sensing technology and uploaded to the cloud platform to understand the patient's situation in real time. The results show that the system has stable performance and can ensure the real-time and accuracy of medical information. Meeting the needs of ward front-line management, not only reduce the workload of nurses, but also improve work efficiency. It is great significance to ward management and the development of hospital information construction.


Assuntos
Computação em Nuvem , Internet das Coisas , Humanos , Tecnologia , Internet , Monitorização Fisiológica
20.
Am J Physiol Endocrinol Metab ; 320(6): E1007-E1019, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-33900850

RESUMO

Intraportal islet transplantation has been clinically applied for treatment of unstable type 1 diabetes. However, in the liver, systematic assessment of the dispersed islet grafts and the graft-hepatic integration remains difficult, even in animal models. This is due to the lack of global and in-depth analyses of the transplanted islets and their microenvironment. Here, we apply three-dimensional (3-D) mouse liver histology to investigate the islet graft microstructure, vasculature, and innervation. Streptozotocin-induced diabetic mice were used in syngeneic intraportal islet transplantation to achieve euglycemia. Optically cleared livers were prepared to enable 3-D morphological and quantitative analyses of the engrafted islets. 3-D image data reveal the clot- and plaque-like islet grafts in the liver: the former are derived from islet emboli and associated with ischemia, whereas the latter (minority) resemble the plaques on the walls of portal vessels (e.g., at the bifurcation) with mild, if any, perigraft tissue damage. Three weeks after transplantation, both types of grafts are revascularized, yet significantly more lymphatics are associated with the plaque- than clot-like grafts. Regarding the islet reinnervation, both types of grafts connect to the periportal nerve plexus and develop peri- and intragraft innervation. Specifically, the sympathetic axons and varicosities contact the α-cells, highlighting the graft-host neural integration. We present the heterogeneity of the intraportally transplanted islets and the graft-host neurovascular integration in mice. Our work provides the technical and morphological foundation for future high-definitional 3-D tissue and cellular analyses of human islet grafts in the liver.NEW & NOTEWORTHY Modern 3-D histology identifies the clot- and plaque-like islet grafts in the mouse liver, which otherwise cannot be distinguished with the standard microtome-based histology. The two types of grafts are similar in blood microvessel density and sympathetic reinnervation. Their differences, however, are their locations, severity of associated liver injury, and access to lymphatic vessels. Our work provides the technical and morphological foundation for future high-definitional 3-D tissue/cellular analyses of human islet grafts in the liver.


Assuntos
Diabetes Mellitus Experimental/terapia , Transplante das Ilhotas Pancreáticas , Ilhotas Pancreáticas , Fígado/patologia , Animais , Diabetes Mellitus Experimental/diagnóstico , Diabetes Mellitus Experimental/patologia , Sobrevivência de Enxerto/fisiologia , Técnicas Histológicas , Ilhotas Pancreáticas/irrigação sanguínea , Ilhotas Pancreáticas/inervação , Ilhotas Pancreáticas/patologia , Transplante das Ilhotas Pancreáticas/métodos , Fígado/irrigação sanguínea , Fígado/diagnóstico por imagem , Fígado/inervação , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Veia Porta , Regeneração/fisiologia
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