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1.
Skin Res Technol ; 30(7): e13792, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38940462

ABSTRACT

BACKGROUND: Atopic dermatitis (AD) is a chronic inflammatory skin disease that affects 15%-30% of children and 10% of adults globally, with its incidence being influenced by genetic, environmental, and various other factors. While the immune plays a crucial role in the development, the composition of gut microbiota and serum metabolites also contribute to its pathogenesis. SUBJECT: Study the characteristics of gut microbiota and serum metabolites in patients with atopic dermatitis METHOD: In this study, we collected stool and serum samples from 28 AD patients and 23 healthy individuals (NC) for metagenomic sequencing of gut microbiota and non-targeted metabolomic sequencing of serum. RESULT: Our results revealed a lower diversity of gut microbiota in the AD group compared to the NC group. The predominant Phylum in AD patients were Bacteroidetes, Pseudomonas, and Verrucomicrobia, with the most dominant bacterial genus being Faecalibacterium. At the species level, Prevotella copri and Faecalibacterium prausnitzii were found to be the most abundant bacteria. Significant differences in serum metabolite profiles were observed between NC and AD patients, with noticeable variations in metabolite expression levels. The majority of metabolites in the serum of AD patients exhibited low expression, while a few showed high expression levels. Notably, metabolites such as Cholesterol glucuronide, Styrene, Lutein, Betaine, Phosphorylcholine, Taurine, and Creatinine displayed the most pronounced alterations. CONCLUSION: These findings contribute to a further understanding of the complexities underlying this disease.


Subject(s)
Dermatitis, Atopic , Feces , Gastrointestinal Microbiome , Humans , Dermatitis, Atopic/microbiology , Dermatitis, Atopic/blood , Gastrointestinal Microbiome/physiology , Male , Female , Adult , Feces/microbiology , Child , Young Adult , Middle Aged , Adolescent , Metabolome/physiology , Bacteroidetes
2.
Sensors (Basel) ; 24(11)2024 Jun 03.
Article in English | MEDLINE | ID: mdl-38894397

ABSTRACT

Unmanned Aerial Vehicle (UAV) aerial sensors are an important means of collecting ground image data. Through the road segmentation and vehicle detection of drivable areas in UAV aerial images, they can be applied to monitoring roads, traffic flow detection, traffic management, etc. As well, they can be integrated with intelligent transportation systems to support the related work of transportation departments. Existing algorithms only realize a single task, while intelligent transportation requires the simultaneous processing of multiple tasks, which cannot meet complex practical needs. However, UAV aerial images have the characteristics of variable road scenes, a large number of small targets, and dense vehicles, which make it difficult to complete the tasks. In response to these issues, we propose to implement road segmentation and on-road vehicle detection tasks in the same framework for UAV aerial images, and we conduct experiments on a self-constructed dataset based on the DroneVehicle dataset. For road segmentation, we propose a new algorithm C-DeepLabV3+. The new algorithm introduces the coordinate attention (CA) module, which can obtain more accurate segmentation target location information and make the segmentation target edges more continuous. Also, the improved algorithm introduces the cascade feature fusion module to prevent the loss of detail information in road segmentation and to obtain better segmentation performance. For vehicle detection, we propose an improved algorithm S-YOLOv5 by adding a parameter-free lightweight attention module SimAM. Finally, the proposed road segmentation-vehicle detection framework is utilized to unite the C-DeepLabV3+ and S-YOLOv5 algorithms for the implementation of the serial tasks. The experimental results show that on the constructed ViDroneVehicle dataset, the C-DeepLabV3+ algorithm has an mPA value of 98.75% and an mIoU value of 97.53%, which can better segment the road area and solve the problem of occlusion. The mAP value of the S-YOLOv5 algorithm has an mAP value of 97.40%, which is more than YOLOv5's 96.95%, which effectively reduces the vehicle omission and false detection rates. By comparison, the results of both algorithms are superior to multiple state-of-the-art methods. The overall framework proposed in this paper has superior performance and is capable of realizing high-quality and high-precision road segmentation and vehicle detection from UAV aerial images.

3.
Heliyon ; 10(11): e31692, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38845865

ABSTRACT

Background: Few studies have studied the efficacy of using immersive virtual reality (iVR) to teach surgical skills, especially by using real-world iVR recordings rather than simulations. This study aimed to investigate whether viewing 360° iVR instructional recordings produces greater improvements in basic suturing skills of students without prior medical training, beyond traditional methods like reading written manuals or watching 2D instructional videos. Materials and methods: This was a partially blinded randomized cohort study. 44 pre-university students (aged 17) were randomized equally to either the written instruction manual, 2D instructional video, or iVR recordings. All students first watched a silent 2D demonstration video of the suturing task, before attempting to place three simple interrupted sutures on a piece of meat as a baseline. The time taken for the first attempt was recorded. Students were then given an hour to train using their allocated modality. They attempted the suturing task again, and timings were re-recorded. Four blinded surgically-trained judges independently assessed the quality of the stitches placed both pre and post-intervention. One-way analysis of variance tests (ANOVAs) and independent two-sample t-tests were used to determine the effect of training modality on improvements in suturing scores and time taken to complete suturing from pre to post-training. Results: For suturing scores, the iVR group showed significantly larger score improvements than the Written Manual group (p = 0.031, Cohen's D = 0.92), while this iVR advantage was less pronounced when compared with the 2D Video group (p = 0.16, Cohen's D = 0.65). Similarly for time taken to complete suturing, the iVR group had significantly larger time improvements than the Written Manual group (p = 0.045), although this difference was less robust compared to the 2D Instructional Video group (p = 0.34). Conclusion: This study demonstrates that iVR training using real-world 360° instructional recordings produced significantly greater training gains in suturing scores and efficiency compared to reading written text. iVR training also led to larger training gains in both outcome measures than viewing 2D instructional videos, although the differences between them did not reach statistical significance.

4.
Nat Commun ; 15(1): 5271, 2024 Jun 20.
Article in English | MEDLINE | ID: mdl-38902250

ABSTRACT

Water regulates or even governs a wide range of biological processes. Despite its fundamental importance, surprisingly little is known about the structure of intracellular water. Herein we employ a Raman micro-spectroscopy technique to uncover the composition, abundance and vibrational spectra of intracellular water in individual living cells. In three different cell types, we show a small but consistent population (~3%) of non-bulk-like water. It exhibits a weakened hydrogen-bonded network and a more disordered tetrahedral structure. We attribute this population to biointerfacial water located in the vicinity of biomolecules. Moreover, our whole-cell modeling suggests that all soluble (globular) proteins inside cells are surrounded by, on average, one full molecular layer (about 2.6 Angstrom) of biointerfacial water. Furthermore, relative invariance of biointerfacial water is observed among different single cells. Overall, our study not only opens up experimental possibilities of interrogating water structure in vivo but also provides insights into water in life.


Subject(s)
Hydrogen Bonding , Spectrum Analysis, Raman , Water , Water/chemistry , Spectrum Analysis, Raman/methods , Humans , Animals , Proteins/chemistry , Proteins/metabolism , Single-Cell Analysis/methods
5.
Environ Pollut ; 356: 124367, 2024 Jun 12.
Article in English | MEDLINE | ID: mdl-38876376

ABSTRACT

Biodegradable film mulching has attracted considerable attention as an alternative to conventional plastic film mulching. However, biodegradable films generate transitory microplastics during the film degradation. How much of this transitory microplastics is being formed and their impact on soil health during long-term use of biodegradable plastic film are not known. Here, we quantified the amounts of microplastics (0.1-5 mm in size) in the topsoil (0-20 cm) of two cotton fields with different mulching cultivations: (1) continuous use of conventional (polyethylene, PE) film for 23 years (Plot 1), and (2) 15 years use of conventional film followed by 8 years of biodegradable (polybutylene adipate-co-terephthalate, PBAT) film (Plot 2). We further assessed the impacts of the microplastics on selected soil health parameters, with a focus on soil carbon contents and fluxes. The total amount of microplastics was larger in Plot 2 (8507 particles kg-1) than in Plot 1 (6767 particles kg-1). The microplastics (0.1-1 mm) were identified as derived from PBAT and PE in Plot 2; while in Plot 1, the microplastics were identified as PE. Microplastics > 1 mm were exclusively identified as PE in both plots. Soil organic carbon was higher (27 vs. 30 g C kg-1 soil) but dissolved organic carbon (120 vs. 74 mg C kg-1 soil) and microbial biomass carbon were lower (413 vs. 246 mg C kg-1 soil) in Plot 2 compared to the Plot 1. Based on 13C natural abundance, we found that in Plot 2, carbon flow was dominated from micro- (<0.25 mm) to macroaggregates (0.25-2 and >2 mm), whereas in Plot 1, carbon flow occurred between large and small macroaggregates, and from micro-to macroaggregates. Thus, long-term application of biodegradable film changed the abundance of microplastics, and organic carbon accumulation compared to conventional polyethylene film mulching.

6.
Transplant Proc ; 2024 Jun 17.
Article in English | MEDLINE | ID: mdl-38890074

ABSTRACT

Advancements in surgical techniques and the optimization of immunosuppression have boosted organ transplant survival rates; however, liver transplant recipients still risk complications such as hepatic vein occlusive disease (HVOD), also called sinusoidal obstruction syndrome. Rare but potentially fatal HVOD damages endothelial cells due to factors like chemotherapy, stem cell transplantation, and certain medications such as azathioprine and tacrolimus. Typically, HVOD presents with distinct clinical symptoms, including ascites, jaundice, and significant weight gain. Herein, we present the case of a 66-year-old male with decompensated liver cirrhosis due to hepatitis C virus infection. The patient underwent a deceased donor liver transplantation at our center. Unfortunately, 4 months after the transplant, he experienced progressive dyspnea and developed right pleural effusion. Abdominal computed tomography and a liver biopsy confirmed the diagnosis of HVOD, likely induced by tacrolimus. After stopping tacrolimus, we observed a significant decrease in ascites and remission of the patient's clinical symptoms of abdominal distention and dyspnea; subsequently, we introduced cyclosporine. In this report, we describe this specific patient's case and discuss HVOD, including its diagnosis and management.

7.
Huan Jing Ke Xue ; 45(6): 3571-3583, 2024 Jun 08.
Article in Chinese | MEDLINE | ID: mdl-38897777

ABSTRACT

In arid areas, fresh water resources are insufficient, and agricultural water mainly depends on shallow saline groundwater. However, long-term saline irrigation will cause soil salt accumulation and soil environment deterioration, which is not conducive to crop growth. In this study, based on the long-term irrigation of fresh water (0.35 dS·m-1, FW) and saline water (8.04 dS·m-1, SW), biochar (3.7 t·hm-2, BC) and straw (6 t·hm-2, ST) were added to the soil by an equal-carbon design. The aim was to clarify the effects of biochar and straw returning on the physical and chemical properties and microbial community structure of salinized soil. The results showed that saline irrigation significantly increased soil water content, electrical conductivity, available phosphorus, and total carbon content but significantly decreased pH value and available potassium content. The contents of available phosphorus, available potassium, and total carbon in soil were significantly increased by biochar and straw returning, but the conductivity value of soil irrigated with saline water was significantly decreased. The dominant bacteria in each treatment were Proteobacteria, Actinomycetes, Acidobacteria, Chloromycetes, and Blastomonas. Saline water irrigation significantly increased the relative abundance of Blastomonas and Proteobacteria but significantly decreased the relative abundance of Acidobacteria and Actinobacteria. Under the condition of fresh water irrigation, the relative abundance of Chlorocurvula was significantly reduced by the return of biochar. Straw returning significantly increased the relative abundance of Proteobacteria but significantly decreased the relative abundance of Acidobacteria, Actinomyces, Chloromyces, and Blastomonas. Under saline irrigation, the relative abundance of Chlorocurvula and Blastomonas were significantly reduced by biochar return to field. Straw returning significantly increased the relative abundance of Proteobacteria but significantly decreased the relative abundance of Acidobacteria, Actinomyces, Chloromyces, and Blastomonas. LEfSe analysis showed that saline irrigation decreased the potential markers and functional numbers of soil microorganisms.Under saline irrigation, biochar returning increased the number of potential markers and functions of soil microorganisms. Straw returning to field increases the number of potential markers of soil microorganisms. RDA results showed that soil microbial community and functional structure were significantly correlated with EC1:5, SWC, and pH. Saline water irrigation will deteriorate the soil environment, which is not conducive to agricultural production, among which EC1:5, SWC, and pH are important factors driving changes in soil microbial community and functional structure. Using biochar and straw to return to the field can reduce the harm of salt to soil and crops, laying a foundation for improving agricultural productivity.


Subject(s)
Agricultural Irrigation , Charcoal , Gossypium , Plant Stems , Soil Microbiology , Soil , Agricultural Irrigation/methods , Soil/chemistry , Gossypium/growth & development , Plant Stems/chemistry , Saline Waters , Microbiota , Bacteria/classification , Bacteria/growth & development
8.
Acc Chem Res ; 2024 Jun 25.
Article in English | MEDLINE | ID: mdl-38916989

ABSTRACT

ConspectusFirst predicted more than 100 years ago, Raman scattering is a cornerstone of photonics, spectroscopy, and imaging. The conventional framework of understanding Raman scattering was built on Raman cross section σRaman. Carrying a dimension of area, σRaman characterizes the interaction strength between light and molecules during inelastic scattering. The numerical values of σRaman turn out to be many orders of magnitude smaller in comparison to the linear absorption cross sections σAbsorption of similar molecular systems. Such an enormous gap has been the reason for researchers to believe the extremely feeble Raman scattering ever since its discovery. However, this prevailing picture is conceptually problematic or at least incomplete due to the fact that Raman scattering and linear absorption belong to different orders of light-matter interaction.In this Account, we will summarize an alternate way to think about Raman scattering, which we term stimulated response formulation. To capture the third-order interaction nature of Raman scattering, we introduced stimulated Raman cross section, σSRS, defined as the intrinsic molecular property in response to the external photon fluxes. Foremost, experimental measurement of σSRS turns out to be not weak at all or even larger when fairly compared with electronic counterparts of the same order. The analytical expression for σSRS derived from quantum electrodynamics also supports the measurement and proves that σSRS is intrinsically strong. Hence, σRaman and σSRS can be extremely small and large, respectively, for the same molecule at the same time. Our subsequent theoretical studies show that stimulated response formulation can unify spontaneous emission, stimulated emission, spontaneous Raman, and stimulated Raman via eq 10, in a coherent and symmetric way. In particular, an Einstein-coefficient-like equation, eq 12a, was derived, showing that σRaman can be explicitly expressed as σSRS multiplied by an effective photon flux arising from zero-point fluctuation of the vacuum. The feeble vacuum fluctuation hence explains how σSRS can be intrinsically strong while, at the same time, σRaman ends up being many orders of magnitude smaller when both compared to the electronic counterparts. These two sides of the same coin prompted us to propose "the duality of Raman scattering" (Table 1). Finally, this formulation naturally leads to a quantitative treatment of stimulated Raman scattering (SRS) microscopy, providing an intuitive, molecule-centric explanation as to how SRS microscopy can outperform regular Raman microscopy. Hence, as unveiled by the new formulation, a duality of Raman scattering has emerged, with implications for both fundamental science and practical technology.

10.
Clin Drug Investig ; 44(5): 329-341, 2024 May.
Article in English | MEDLINE | ID: mdl-38619775

ABSTRACT

BACKGROUND: Schizophrenia is one of the leading causes of disability. Paliperidone palmitate once-monthly injection (PP1M) was developed to provide consistent drug delivery and improve medication adherence for maintenance treatment. It is well known that patients with schizophrenia have higher cardiovascular risks, however little is known about the cardiovascular risks of patients with schizophrenia treated with PP1M in Asia. OBJECTIVE: This study aimed to estimate the incidence of cardiovascular events after initiating PP1M treatment and evaluate the cardiovascular risk associations compared with oral second-generation antipsychotics (SGAs). METHODS: Data from Taiwan's National Health Insurance Research Database were used to identify a cohort of adult patients with schizophrenia who received any SGAs from 1 March 2012 to 31 December 2018. Patients who initiated PP1M treatment were enrolled for descriptive analysis of incidence rates. PP1M patients were propensity matched 1:1 to patients initiating a new oral SGA, for comparative analysis based on demographics, clinical characteristics and treatment history at baseline, in three-step matching procedures, following the prevalent new-user design to enhance comparability. Follow-up ended at the end of the treatment episode of index drug, death, last record available, or end of the study (31 December 2019). Study endpoints included serious cardiovascular events (including severe ventricular arrhythmia and sudden death), expanded serious cardiovascular events (which further included acute myocardial infarction and ischemic stroke), and cardiovascular hospitalizations. Risks of study endpoints between matched cohorts were compared using Cox regression. RESULTS: Overall, 11,023 patients initiating PP1M treatment were identified (49.5% were females; mean age of 43.2 [12.2] years). Overall incidences for serious cardiovascular events, expanded serious cardiovascular events, and cardiovascular hospitalizations were 3.92, 7.88 and 51.96 per 1000 person-years, respectively. In matched cohort analysis (N = 10,115), the hazard ratios (HRs) between initiating PP1M and a new oral SGA for serious cardiovascular events, expanded serious cardiovascular events, and cardiovascular hospitalizations were 0.86 (95% confidence interval [CI] 0.55-1.36), 0.88 (95% CI 0.63-1.21), and 0.78 (95% CI 0.69-0.89), respectively. CONCLUSION: This study reported the population-based incidence of cardiovascular events in schizophrenic patients initiating PP1M treatment. PP1M was not associated with increased risks of serious cardiovascular events but was potentially associated with lower risks of cardiovascular hospitalizations compared with oral SGAs.


Subject(s)
Antipsychotic Agents , Cardiovascular Diseases , Paliperidone Palmitate , Schizophrenia , Humans , Schizophrenia/drug therapy , Schizophrenia/epidemiology , Female , Male , Paliperidone Palmitate/administration & dosage , Paliperidone Palmitate/adverse effects , Taiwan/epidemiology , Retrospective Studies , Adult , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/chemically induced , Middle Aged , Antipsychotic Agents/administration & dosage , Antipsychotic Agents/adverse effects , Incidence , Injections
11.
Front Med (Lausanne) ; 11: 1363405, 2024.
Article in English | MEDLINE | ID: mdl-38633304

ABSTRACT

Psoriasis and atopic dermatitis (AD) are prevalent inflammatory skin disorders, each stemming from diverse factors, and characterized by recurring episodes. In certain complex cases, the clinical and pathological features exhibit overlapping and atypical characteristics, making accurate clinical diagnosis and targeted treatment a challenge. Psoriasiform dermatitis is the term used to describe such cases. Moreover, when patients have a history of malignancy, the situation becomes even more intricate, resulting in limited treatment options. Biologic therapies have transformed the management of immune-mediated inflammatory diseases, including psoriasis and AD. Meanwhile, the safety of biologics in special populations, especially among patients with a history of malignancy, should be underlined. The selective Janus kinase 1 (JAK1) inhibitor abrocitinib has been approved for the treatment of AD and has showed satisfying efficacy and safety in the treatment of psoriasis in clinical trials. Although unreported, JAK1 inhibitors are thought to have the potential to increase the risk of potential tumors. Apremilast, an oral phosphodiesterase (PDE)-4 inhibitor, is approved for moderate to severe plaque psoriasis. It has been investigated for its efficacy in AD, and is not contraindicated in malignancy. This report presents three cases of psoriasiform dermatitis in patients with a history of malignancy, showcasing significant improvement following treatment with systemic glucocorticoid, abrocitinib, or apremilast.

12.
J Chem Phys ; 160(9)2024 Mar 07.
Article in English | MEDLINE | ID: mdl-38441263

ABSTRACT

Both spontaneous Raman scattering and stimulated Raman scattering (SRS) are cornerstones of modern photonics, spectroscopy, and imaging. However, a unified understanding of the ultimate detectability of Raman scattering is lacking, due to both historical and technical reasons. Starting from quantum electrodynamics, we formulate the fundamental detectability for both spontaneous Raman scattering and SRS. The key concept is recognizing spontaneous Raman scattering as stimulated Raman process driven by vacuum field fluctuation. A simple and unified expression, Eq. (17), is derived, which can be depicted on a two-dimensional phase-diagram-like graph with inherent symmetry. It turns out that the particle nature of light dictates the ultimate detectability of spontaneous Raman scattering, which can be represented by a line on this detectability diagram. Importantly, if provided with a reasonably strong Stokes photon flux, SRS can breach this fundamental limit and open uncharted territory of drastically accelerated measurement speed and much lower detection concentration relevant to biological imaging. Such new territory in the detectability diagram is otherwise forbidden by the spontaneous counterpart. Diagrammatical analysis explains the empirical observations, provides quantitative insights, and makes new predictions. Notably, recent experimental applications of SRS microscopy can almost entirely be captured by this diagram, further supporting the explanatory power of the theory. Thus, this unified diagrammatic approach outlines a framework to understand all Raman-based measurement and provides a theoretical explanation for the remarkable utility of the emerging SRS microscopy.

13.
Front Immunol ; 15: 1256766, 2024.
Article in English | MEDLINE | ID: mdl-38487537

ABSTRACT

CD5 is a member of the scavenger receptor cysteine-rich superfamily that is expressed on T cells and a subset of B cells (B1a) cell and can regulate the T cell receptor signaling pathway. Blocking CD5 function may have therapeutic potential in treatment of cancer by enhancing cytotoxic T lymphocyte recognition and ablation of tumour cells. The effect of administering an anti-CD5 antibody to block or reduce CD5 function as an immune checkpoint blockade to enhance T cell anti-tumour activation and function in vivo has not been explored. Here we challenged mice with poorly immunogenic 4T1 breast tumour cells and tested whether treatment with anti-CD5 monoclonal antibodies (MAb) in vivo could enhance non-malignant T cell anti-tumour immunity and reduce tumour growth. Treatment with anti-CD5 MAb resulted in an increased fraction of CD8+ T cells compared to CD4+ T cell in draining lymph nodes and the tumour microenvironment. In addition, it increased activation and effector function of T cells isolated from spleens, draining lymph nodes, and 4T1 tumours. Furthermore, tumour growth was delayed in mice treated with anti-CD5 MAb. These data suggest that use of anti-CD5 MAb as an immune checkpoint blockade can both enhance activation of T cells in response to poorly immunogenic antigens and reduce tumour growth in vivo. Exploration of anti-CD5 therapies in treatment of cancer, alone and in combination with other immune therapeutic drugs, is warranted.


Subject(s)
Breast Neoplasms , CD8-Positive T-Lymphocytes , Mice , Animals , Humans , Female , Immune Checkpoint Inhibitors/pharmacology , T-Lymphocytes, Cytotoxic , Antibodies, Monoclonal/pharmacology , Antibodies, Monoclonal/therapeutic use , Breast Neoplasms/drug therapy , Allografts , Tumor Microenvironment
14.
J Gastrointest Surg ; 28(5): 719-724, 2024 May.
Article in English | MEDLINE | ID: mdl-38503593

ABSTRACT

BACKGROUND: Common bile duct (CBD) stones commonly occur in cholecystectomy cases. The management options include laparoscopic CBD exploration (LCBDE) or endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC). Although ERCP is fully developed, it has complications, and LCBDE is a proven alternative. This study aimed to evaluate the safety and efficacy of these treatments in elderly individuals aged ≥70 years. METHODS: A retrospective study between January 2015 and July 2022 included 160 elderly patients (aged ≥70 years) diagnosed with cholelithiasis and choledocholithiasis. The patients were divided into 1-stage (LCBDE [n = 80]) or 2-stage (ERCP followed by LC [n = 80]) treatment groups. Data collected encompassed comorbidities, symptoms, bile duct clearance, postoperative complications, and long-term outcomes for systematic analysis. RESULTS: This study analyzed 160 patients treated for CBD stones, comparing 1-stage and 2-stage groups. The 1-stage group had more female patients than the 2-stage group (57.5% vs 37.5%, respectively). The 1-stage group had a mean age of 80.55 ± 7.00 years, which was higher than the mean age in the 2-stage group. American Society of Anesthesiologists classification, Charlson Comorbidity Index, and laboratory findings were similar. Pancreatitis and cholangitis occurred after ERCP in the 2-stage group. Stone clearance rates (92.35% [1-stage group] vs 95.00% [2-stage group]) and biliary leakage incidence (7.5% [1-stage group] vs 3.0% [2-stage group]) were similar, as were postoperative complications and long-term recurrence rates (13.0% [1-stage group] vs 12.5% [2-stage group]). CONCLUSION: Our research indicates that both the combination of LCBDE and LC and the sequence of ERCP followed by LC are equally efficient and secure when treating CBD stones in elderly patients. Consequently, the 1-stage procedure may be considered the preferred treatment approach for this demographic.


Subject(s)
Cholangiopancreatography, Endoscopic Retrograde , Cholecystectomy, Laparoscopic , Choledocholithiasis , Gallstones , Humans , Cholangiopancreatography, Endoscopic Retrograde/methods , Female , Male , Aged , Retrospective Studies , Cholecystectomy, Laparoscopic/methods , Cholecystectomy, Laparoscopic/adverse effects , Choledocholithiasis/surgery , Aged, 80 and over , Gallstones/surgery , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Treatment Outcome , Common Bile Duct/surgery , Laparoscopy/methods , Laparoscopy/adverse effects
15.
ACS Omega ; 9(10): 11574-11588, 2024 Mar 12.
Article in English | MEDLINE | ID: mdl-38496954

ABSTRACT

In order to study the mechanism of improving recovery efficiency of complex difficult-to-recover heavy oil reservoirs and explain the interaction and migration law of flue gas, foam, and steam, this paper designed the experiment of flue gas influence on heavy oil flow and the experiment of flue gas foam displacement in complex difficult-to-recover heavy oil model. The results show that the flue gas has expansion and an energy enhancement effect. Moreover, the interfacial tension of heavy oil can be reduced, and the higher the CO2 content in flue gas, the more beneficial it is to reduce the interfacial tension. When there is an interlayer in the reservoir, the gas can form a "puncture" in the interlayer, which provides a channel for the subsequent upward expansion of steam, so that the upper part of the interlayer can be used to expand the steam sweep range. The main mechanism of improving heavy oil recovery with flue gas foam is that the foam regulates fluid mobility and improves the thermal sweep efficiency of steam. In addition, the injected foam can emulsify with heavy oil, reduce the viscosity of heavy oil, and improve the fluidity of heavy oil. Finally, the maximum oil production rate increased from 1.809 to 2.455 g/min, and the recovery rate increased from 44.3 to 68.8%.

16.
Huan Jing Ke Xue ; 45(2): 837-843, 2024 Feb 08.
Article in Chinese | MEDLINE | ID: mdl-38471922

ABSTRACT

The Yellow River water of an urban area located in the middle and lower reaches of the Yellow River was taken as the research object, in which the seasonal and along-range distribution of total culturable bacteria, typical antibiotic resistant bacteria (amoxicillin resistant bacteria and sulfamethoxazole-resistant bacteria), and their corresponding typical resistance genes ï¼»ß-lactam resistance gene (blaCTX-M) and sulfamamide resistance genes (sulI and sulⅡ), as well as intⅠ1 were investigated. The results showed that the total culturable bacteria, ß-lactam-resistant bacteria and sulfonamide-resistant bacteria in the Yellow River Basin were significantly affected by temperature and human activities. The composition and quantity of their genera had obvious spatiotemporal distribution characteristics, in which Bacillus and Pseudomonas were dominant in the composition and number of bacteria. The abundance of resistance genes decreased with the decrease in temperature. The proportion of ß-lactam resistance genes in the total genes was higher than that of sulfanilamide genes, and sulI was the dominant gene in sulfanilamide genes. Correlation analysis showed that class Ⅰ integron played an important role in accelerating the spread of resistance genes. This study offers insight into the status quo of water resistance pollution in the Yellow River and provides theoretical support for the risk assessment of resistance genes in the middle and lower reaches of the Yellow River Basin.


Subject(s)
Rivers , Water , Humans , Rivers/microbiology , Anti-Bacterial Agents/analysis , Bacteria/genetics , Sulfamethoxazole , China
17.
Nat Methods ; 21(3): 501-511, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38374266

ABSTRACT

High-content cell profiling has proven invaluable for single-cell phenotyping in response to chemical perturbations. However, methods with improved throughput, information content and affordability are still needed. We present a new high-content spectral profiling method named vibrational painting (VIBRANT), integrating mid-infrared vibrational imaging, multiplexed vibrational probes and an optimized data analysis pipeline for measuring single-cell drug responses. Three infrared-active vibrational probes were designed to measure distinct essential metabolic activities in human cancer cells. More than 20,000 single-cell drug responses were collected, corresponding to 23 drug treatments. The resulting spectral profile is highly sensitive to phenotypic changes under drug perturbation. Using this property, we built a machine learning classifier to accurately predict drug mechanism of action at single-cell level with minimal batch effects. We further designed an algorithm to discover drug candidates with new mechanisms of action and evaluate drug combinations. Overall, VIBRANT has demonstrated great potential across multiple areas of phenotypic screening.


Subject(s)
Neoplasms , Humans , Algorithms , Machine Learning
18.
PLoS Biol ; 22(2): e3002205, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38300958

ABSTRACT

Cells must access resources to survive, and the anatomy of multicellular structures influences this access. In diverse multicellular eukaryotes, resources are provided by internal conduits that allow substances to travel more readily through tissue than they would via diffusion. Microbes growing in multicellular structures, called biofilms, are also affected by differential access to resources and we hypothesized that this is influenced by the physical arrangement of the cells. In this study, we examined the microanatomy of biofilms formed by the pathogenic bacterium Pseudomonas aeruginosa and discovered that clonal cells form striations that are packed lengthwise across most of a mature biofilm's depth. We identified mutants, including those defective in pilus function and in O-antigen attachment, that show alterations to this lengthwise packing phenotype. Consistent with the notion that cellular arrangement affects access to resources within the biofilm, we found that while the wild type shows even distribution of tested substrates across depth, the mutants show accumulation of substrates at the biofilm boundaries. Furthermore, we found that altered cellular arrangement within biofilms affects the localization of metabolic activity, the survival of resident cells, and the susceptibility of subpopulations to antibiotic treatment. Our observations provide insight into cellular features that determine biofilm microanatomy, with consequences for physiological differentiation and drug sensitivity.


Subject(s)
Anti-Bacterial Agents , Pseudomonas Infections , Humans , Anti-Bacterial Agents/pharmacology , Pseudomonas aeruginosa/metabolism , Biofilms , Pseudomonas Infections/microbiology , Fimbriae, Bacterial
19.
Huan Jing Ke Xue ; 45(1): 520-529, 2024 Jan 08.
Article in Chinese | MEDLINE | ID: mdl-38216501

ABSTRACT

Saline water irrigation can alleviate the shortage of freshwater resources in the northwest arid zone, but long-term saline water irrigation can damage the soil fungal community structure. To alleviate the harm caused by salinity, biochar is used as a soil amendment to improve the soil fungal community structure. To investigate the intrinsic link between biochar application and the structural diversity of fungal communities in saline soils, two irrigation water salinity levels were set:0.35 dS·m-1 (fresh water) and 8.04 dS·m-1 (saline water). At each irrigation water salinity, two levels of biochar application were set:0 t·hm-2 (no application) and 3.7 t·hm-2 (application). High-throughput sequencing results showed that compared to that under fresh water irrigation, saline water irrigation increased fungal community species diversity and decreased fungal community species richness; biochar application under saline water irrigation reduced soil fungal community species diversity and species richness. The dominant fungal phyla in the soils of each treatment were Ascomycota, Mortierellomycota, Basidiomycota, Chytridiomycota, Glomeromycota, Rozellomycota, and Cysticercales, and the dominant genera were Gibberella, Chaetomium, Sarocladium, Stachybotrys, and Fusarium. Compared to that under freshwater irrigation, saline water irrigation significantly increased the relative abundance of Basidiomycota and Chytridiomycota and significantly decreased the relative abundance of Ascomycota and Rozellomycota. The application of biochar under saline irrigation significantly increased the relative abundance of Ascomycota and Sarocladium but significantly decreased the relative abundance of Basidiomycota, Chaetomium, and Fusarium. LEfSe analysis showed that under the condition of no biochar application, saline irrigation reduced the number of potential biomarkers of fungal communities, whereas the application of biochar under the condition of saline irrigation increased the number of potential biomarkers of fungal communities. These results indicated that the application of biochar can improve the saline soil environment and fungal community structure and provide a theoretical basis for reasonable brackish water irrigation and soil fertilization in arid areas.


Subject(s)
Charcoal , Mycobiome , Soil , Soil/chemistry , Salinity , Fungi , Biomarkers , Soil Microbiology
20.
J Med Chem ; 67(2): 1500-1512, 2024 Jan 25.
Article in English | MEDLINE | ID: mdl-38227216

ABSTRACT

Casitas B-lymphoma proto-oncogene-b (Cbl-b), a member of the Cbl family of RING finger E3 ubiquitin ligases, has been demonstrated to play a central role in regulating effector T-cell function. Multiple studies using gene-targeting approaches have provided direct evidence that Cbl-b negatively regulates T, B, and NK cell activation via a ubiquitin-mediated protein modulation. Thus, inhibition of Cbl-b ligase activity can lead to immune activation and has therapeutic potential in immuno-oncology. Herein, we describe the discovery and optimization of an arylpyridone series as Cbl-b inhibitors by structure-based drug discovery to afford compound 31. This compound binds to Cbl-b with an IC50 value of 30 nM and induces IL-2 production in T-cells with an EC50 value of 230 nM. Compound 31 also shows robust intracellular target engagement demonstrated through inhibition of Cbl-b autoubiquitination, inhibition of ubiquitin transfer to ZAP70, and the cellular modulation of phosphorylation of a downstream signal within the TCR axis.


Subject(s)
Proto-Oncogene Proteins c-cbl , Ubiquitin-Protein Ligases , Proto-Oncogene Proteins c-cbl/metabolism , Ubiquitin-Protein Ligases/metabolism , T-Lymphocytes/metabolism , Phosphorylation , Ubiquitin/metabolism
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