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1.
Medicine (Baltimore) ; 103(18): e37992, 2024 May 03.
Article in English | MEDLINE | ID: mdl-38701260

ABSTRACT

BACKGROUND: Multiple takayasu arteritis (TA) is a chronic nonspecific large to medium vasculitis disease that mainly accumulates the aorta and its branches. Pulmonary vascular disease is often seen as stenosis and occlusion, and patients may show no moderate to severe pulmonary hypertension (PH). This study aims to summarize the clinical characteristics and analysis of prognostic factors in patients with PH caused by TA. METHODS: Patients diagnosed with aortitis involving the pulmonary artery by pulmonary arteriography or pulmonary artery and total aortic computed tomography arteriography (CTA). All patients underwent detailed clinical assessment, laboratory data collection, and analysis of imaging data. Patients were followed up and factors affecting the prognosis of the pulmonary arteries were analyzed. RESULTS: Most of the patients' complaints were chest tightness, shortness of breath, decreased activity tolerance, hemoptysis and chest pain. 56.90% of the patients were in at the time of admission. Echocardiographic estimation of pulmonary artery systolic pressure was 90.39 ±â€…22.87 mm Hg. In terms of laboratory tests, 39.66%% of the patients had elevated C-reactive protein and erythrocyte sedimentation rate, and amino-terminal natriuretic peptide precursor on admission. In terms of imaging, all patients had pulmonary artery involvement, which was combined with aortic involvement in 31.03%. Nuclide lung perfusion/ventilation imaging of the patients revealed multiple perfusion defects/absences in the segmental and subsegmental distribution of the lungs. Univariate Cox regression model analysis suggested that patients' WHO functional class at admission, age ≧ 51 years at the time of consultation, and amino-terminal natriuretic peptide precursor ≧ 3500 pg/mL were factors affecting the prognosis. Further multifactorial Cox regression model analysis suggested amino-terminal natriuretic peptide precursor ≧ 3500 pg/mL was an independent predictor of poor prognosis with a hazard ratio (HR) value of 5.248. CONCLUSION: Electrocardiogram and echocardiogram may suggest an increased right heart load; some patients have elevated serum inflammatory indexes. Characteristic imaging manifestations include widening of the main pulmonary artery, multiple pulmonary segmental and subsegmental stenoses.


Subject(s)
Hypertension, Pulmonary , Pulmonary Artery , Takayasu Arteritis , Humans , Takayasu Arteritis/complications , Takayasu Arteritis/physiopathology , Female , Hypertension, Pulmonary/etiology , Hypertension, Pulmonary/physiopathology , Retrospective Studies , Adult , Male , Prognosis , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/physiopathology , Middle Aged , Young Adult , Echocardiography/methods , Computed Tomography Angiography/methods
2.
Cell Biosci ; 14(1): 55, 2024 Apr 27.
Article in English | MEDLINE | ID: mdl-38678262

ABSTRACT

BACKGROUND: Alzheimer's disease (AD) is the most prevalent neurodegenerative disease with limited disease-modifying treatments. Drug repositioning strategy has now emerged as a promising approach for anti-AD drug discovery. Using 5×FAD mice and Aß-treated neurons in culture, we tested the efficacy of Y-2, a compounded drug containing the antioxidant Edaravone (Eda), a pyrazolone and (+)-Borneol, an anti-inflammatory diterpenoid from cinnamon, approved for use in amyotrophic lateral sclerosis patients. RESULTS: We examined effects of Y-2 versus Eda alone by i.p. administered in 8-week-old 5×FAD mice (females) for 4 months by comparing cognitive function, Aß pathologies, neuronal necroptosis and neuroinflammation. Using primary neurons and astrocytes, as well as neuronal and astrocytic cell lines, we elucidated the molecular mechanisms of Y-2 by examining neuronal injury, astrocyte-mediated inflammation and necroptosis. Here, we find that Y-2 improves cognitive function in AD mice. Histopathological data show that Y-2, better than Eda alone, markedly ameliorates Aß pathologies including Aß burden, astrogliosis/microgliosis, and Tau phosphorylation. In addition, Y-2 reduces Aß-induced neuronal injury including neurite damage, mitochondrial impairment, reactive oxygen species production and NAD+ depletion. Notably, Y-2 inhibits astrocyte-mediated neuroinflammation and attenuates TNF-α-triggered neuronal necroptosis in cell cultures and AD mice. RNA-seq further demonstrates that Y-2, compared to Eda, indeed upregulates anti-inflammation pathways in astrocytes. CONCLUSIONS: Our findings infer that Y-2, better than Eda alone, mitigates AD pathology and may provide a potential drug candidate for AD treatment.

3.
Chem Biodivers ; : e202400086, 2024 Apr 15.
Article in English | MEDLINE | ID: mdl-38619074

ABSTRACT

The endoperoxide group of artemisinins is universally accepted an essential group for their anti-cancer effects. In this study, a series of D-ring-contracted artemisinin derivatives were constructed by combining ring-contracted artemisinin core with fragments of functional heterocyclic molecules or classical CDK4/6 inhibitors to identify more efficacious breast cancer treatment agents. Twenty-six novel hybridized molecules were synthesized and characterized by HRMS, IR, 1H-NMR and 13C NMR. In antiproliferative activities and kinase inhibitory effects assays, we found that the antiproliferative effects of B01 were close to those of the positive control Palbociclib, with GI50 values of 4.87±0.23 µM and 9.97±1.44 µM towards T47D cells and MDA-MB-436 cells respectively. In addition, the results showed that B01 was the most potent compound against CDK6/cyclin D3 kinase, with an IC50 value of 0.135±0.041 µM, and its activity was approximately 1/3 of the positive control Palbociclib.

4.
Mikrochim Acta ; 191(4): 224, 2024 04 01.
Article in English | MEDLINE | ID: mdl-38556528

ABSTRACT

A sandwich plasmonic coupled surface enhanced Raman spectroscopy (SERS) tape is proposed prepared by peeling the chemical printed silver nanocorals (AgNCs) from Cu sheet with adhesive tape, which can sample targets from food surface and sandwich them between substrates and Cu sheet for SERS detection. The solid-to-solid transformation method for fabricating SERS tapes can effectively avoid the weakening of tape stickiness during the preparation process. The sandwich plasmonic coupled structure of AgNC substrate, targets, and Cu sheet display excellent SERS activity (EF = 1.62 × 107) for sensitive determination of analytes. In addition, due to the high heat conductivity of Cu sheet, the thermal effect of laser irradiation during SERS detection cannot damage the AgNC tapes, which ensures the reproducibility of subsequent quantification. The sandwich plasmonic coupled SERS tape is demonstrated to quantify malachite green (MG) and methyl parathion (MP) with good linear coefficients (> 0.98) by two typical calibration plots under different concentration ranges. The limit of detection (LOD) of the method is 0.17 ng/cm2 and 0.48 µg/cm2 (S/N = 3) for MG and MP. This method can realize the quantitative determination of MP and MG on the surface of fruits and fish scale with recoveries of 93-113%. The satisfactory detection results demonstrate the proposed sandwich plasmonic coupled AgNC tape can be successfully applied to SERS-based point-of-care testing (POCT) for pesticide residue determination, which will provide a new path for designing and constructing SERS tapes.


Subject(s)
Pesticide Residues , Animals , Pesticide Residues/analysis , Reproducibility of Results , Spectrum Analysis, Raman/methods , Fruit/chemistry
5.
Sheng Wu Gong Cheng Xue Bao ; 40(2): 507-516, 2024 Feb 25.
Article in Chinese | MEDLINE | ID: mdl-38369837

ABSTRACT

Since the approval of OKT3 as the first therapeutic monoclonal antibody in 1986, there has been rapid development in antibody technology and antibody drugs. Monoclonal antibodies, antibody fragments, bi (multi) specific antibodies, fusion proteins, nanobodies, and antibody-drug conjugates (ADCs) have been introduced and play a significant role in the treatment of oncology, hematology, immunology, respiratory, metabolic and other related diseases. The process of antibody drug discovery involves multiple rounds of biological function and druggability assessments to identify the best candidate sequences that are safe, effective, stable, and scalable. This lays the foundation for the efficiency and success of drug development and clinical studies. In the phase of antibody drug discovery, "druggability screening and evaluation" has received increasing attention. It involves drug discovery and design, screening and optimization of lead molecules as well as the validation of candidate molecules, with the aim of detecting potential physicochemical risk factors and evaluating controllability to ensure the quality stability of the subsequent drug development process. This paper classifies and defines the process of druggability screening and evaluation in the antibody discovery phase, covering monoclonal antibodies, bispecific antibodies, nanobodies, ADCs and other related technologies and drug forms. It also summarizes the quality attributes and high-throughput detection technology that should be emphasized in the druggability screening and evaluation. The systematic elaboration of the druggability development process and strategy provides a reference for the druggability screening and evaluation of emerging innovative drugs, significantly improving the efficiency and success rate of antibody drug development.


Subject(s)
Antibodies, Bispecific , Immunoconjugates , Single-Domain Antibodies , Single-Domain Antibodies/therapeutic use , Antibodies, Monoclonal , Immunoconjugates/therapeutic use , Immunoconjugates/chemistry
6.
Chem Commun (Camb) ; 60(13): 1715-1718, 2024 Feb 08.
Article in English | MEDLINE | ID: mdl-38240022

ABSTRACT

One type of carbonyl-linked cobalt polyphthalocyanine (CL-CoPPc) is synthesised as catalysts for use in electrochemical carbon dioxide (CO2) reduction (ECR). Carbonyl linkages can decrease the intermolecular π-π stacking, and serve as intramolecular "gullies" to impede proton transfer and the hydrogen evolution reaction (HER). Therefore, the CL-CoPPc exhibits highly active and selective CO2 reduction to carbon monoxide (CO).

7.
ACS Appl Mater Interfaces ; 15(46): 54098-54104, 2023 Nov 22.
Article in English | MEDLINE | ID: mdl-37939384

ABSTRACT

A transparent in visible wavelengths and ultrabroadband microwave meta-absorber (MMA) based on indium tin oxide (ITO) metasurfaces and a water layer is proposed. After optimizing a series of structural parameters, the proposed MMA can achieve ultrabroadband absorption with an absorption efficiency of more than 90%, covering the frequency range of 9.44-120.92 GHz and a relative absorption bandwidth of 171%. Furthermore, the absorber has many advantages, such as optical transparency, polarization insensitivity, and wide-angle absorption for transverse electric (TE) and transverse magnetic (TM) polarization waves. Moreover, the proposed MMA with 15 × 15 unit cells was fabricated and tested. The fabricated MMA performs well in microwave absorption, as demonstrated by the well-matched experimental results with numerical simulations. These extraordinary advantages mentioned above show that this type of MMAs can be applied in the fields of electromagnetic (EM) stealth, optical windows, and energy collection in the future.

8.
Asian Spine J ; 17(5): 985-995, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37690991

ABSTRACT

The purpose of this research was to compare the therapeutic efficacy of multiple-rod constructs vis-a-vis 2-rod constructs in the treatment of adult spinal deformity. A systematic review and meta-analysis were performed to determine whether the multiple-rod construct outperformed the 2-rod construct. We initially retrieved 357 papers, but only 12 were chosen for further meta-analysis. The rod breakage rates in the multiple-rod and the 2-rod groups were 10.66% and 29.87%, respectively. The multiple-rod construct inhibited rod breakage (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.19-0.41; p<0.001), pseudarthrosis (OR, 0.30; 95% CI, 0.18-0.50; p<0.001) and rod fracture at the osteotomy site (OR, 0.34; 95% CI, 0.13-0.89; p=0.03). Furthermore, the multiple-rod construct reduces the risk of revision surgery (OR, 0.38; 95% CI, 0.20-0.73; p=0.04) as well as the revision risk of pseudarthrosis/rod fracture in the multiple- rod group (OR, 0.31; 95% CI, 0.18-0.52; p<0.001), but increases the risk of caudal screw loosening (OR, 4.99; 95% CI, 1.87-13.30; p=0.001). There was no statistically significant difference in proximal junctional kyphosis (PJK) parameters (p=0.85), cerebrospinal fluid leakage (p=0.09), wound infection (p =0.71), age at surgery (p=0.62), gender distribution (p=0.93), body mass index (p =0.86), smoking status (p=0.05), hospital stay (p=0.09), osteoporosis (p=0.95), CoCr rod material (p=0.15), bone morphogenetic protein-2 (p=0.58), L5/S1 interbody fusion (p=0.07), high-grade osteotomies (p=0.07), the number of fusion levels (p=0.11), operation time (p=0.30), and blood loss volume (p=0.34). Regarding radiographic parameters, only preoperative sagittal vertical axis was found to be higher (weight means difference [WMD], 25.60; 95% CI, 15.43-35.77; p<0.001) in the multiple-rod group. There was no difference in preoperative Oswestry Disability Index (ODI) (WMD, -3.32; 95% CI, -7.38 to 0.73; p=0.11), but the multiple-rod group had a lower ODI at follow-up (WMD, -7.71; 95% CI, -11.62 to -3.86; p<0.001). Multiple-rod constructs could prevent rod breakage and pseudarthrosis while also lowering the revision rate, resulting in a better clinical outcome than the 2-rod construct. Nonetheless, due consideration should be given to PJK and screw loosening in multiple-rod constructs, possibly due to the increased stiffness caused by the multiple-rod structure.

10.
Neurosci Bull ; 39(11): 1683-1702, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37523099

ABSTRACT

Parvalbumin interneurons belong to the major types of GABAergic interneurons. Although the distribution and pathological alterations of parvalbumin interneuron somata have been widely studied, the distribution and vulnerability of the neurites and fibers extending from parvalbumin interneurons have not been detailly interrogated. Through the Cre recombinase-reporter system, we visualized parvalbumin-positive fibers and thoroughly investigated their spatial distribution in the mouse brain. We found that parvalbumin fibers are widely distributed in the brain with specific morphological characteristics in different regions, among which the cortex and thalamus exhibited the most intense parvalbumin signals. In regions such as the striatum and optic tract, even long-range thick parvalbumin projections were detected. Furthermore, in mouse models of temporal lobe epilepsy and Parkinson's disease, parvalbumin fibers suffered both massive and subtle morphological alterations. Our study provides an overview of parvalbumin fibers in the brain and emphasizes the potential pathological implications of parvalbumin fiber alterations.


Subject(s)
Epilepsy, Temporal Lobe , Parkinson Disease , Mice , Animals , Epilepsy, Temporal Lobe/pathology , Parvalbumins/metabolism , Parkinson Disease/pathology , Neurons/metabolism , Interneurons/physiology , Disease Models, Animal , Brain/pathology
11.
Opt Express ; 31(11): 17569-17579, 2023 May 22.
Article in English | MEDLINE | ID: mdl-37381487

ABSTRACT

Holography is an advanced imaging technology where image information can be reconstructed without a lens. Recently, multiplexing techniques have been widely adapted to realize multiple holographic images or functionalities in a meta-hologram. In this work, a reflective four-channel meta-hologram is proposed to further increase the channel capacity by simultaneously implementing frequency and polarization multiplexing. Compared to the single multiplexing technique, the number of channels achieves a multiplicative growth of the two multiplexing techniques, as well as allowing meta-devices to possess cryptographic characteristics. Specifically, spin-selective functionalities for circular polarizations can be achieved at lower frequency, while different functionalities can be obtained at higher frequency under different linearly polarized incidences. As an illustrative example, a four-channel joint-polarization-frequency-multiplexing meta-hologram is designed, fabricated, and characterized. The measured results agree well with the numerically calculated and full-wave simulated ones, which provides the proposed method with great potential in numerous opportunities such as multi-channel imaging and information encryption technology.

12.
ACS Omega ; 8(15): 14240-14246, 2023 Apr 18.
Article in English | MEDLINE | ID: mdl-37091405

ABSTRACT

Blumeatin, reported herein, bearing two hydroxyl groups at C3' and C5' of ring B, is isolated from the traditional Chinese medicine Blumea balsamifera. But the isolation procedure of blumeatin from plants has limitations of prolonged duration and high cost. A procedure featuring Lewis acid-catalyzed ring closure and chiral resolution via Schiff base intermediates is provided here to prepare optically pure blumeatin and its R-isomer efficiently. Furthermore, the structure revision of putative blumeatin based on a logically synthetic procedure and NMR spectroscopic analysis was conducted. The 1D and 2D NMR data analysis unambiguously confirmed our proposal that the reported blumeatin structure has been misassigned as it corresponds to sterubin, which contains two hydroxyl groups at C3' and C4' of ring B. Finally, the results of the ear-swelling test exhibited that synthetic (±)-blumeatin and (±)-sterubin had moderate anti-inflammatory activity which was less than that of (-)-sterubin.

13.
Clin Interv Aging ; 18: 485-493, 2023.
Article in English | MEDLINE | ID: mdl-37008803

ABSTRACT

Purpose: Dual-energy X-ray absorptiometry (DXA) is commonly used for evaluation of bone mineral density before spinal surgery, but frequently leads to overestimation in degenerative spinal diseases due to osteoproliferation factors. We introduce a novel method to compare the predictive ability of Hounsfield Units (HU) and DXA methods to predict screw loosening after lumbar interbody fusion surgery in degenerative spinal diseases by measuring HU of pedicle screw trajectory on computed tomography (CT) images preoperatively. Patients and Methods: This retrospective study was conducted on patients who underwent posterior lumbar fusion surgery for degenerative diseases. CT HUs measurement was performed using medical imaging software, including the cancellous region on cross-sections of the vertebral body and three-dimensional pedicle screw trajectory. Receiver operating characteristic (ROC) curve analyses were performed for the risk of pedicle screw loosening in association with the Hounsfield scale and preoperative BMD, and the area under the curve (AUC) and the cutoff values were calculated. Results: A total of 90 patients were enrolled and were divided into loosening (n = 33, 36.7%) and non-loosening groups (n = 57, 63.3%). No significant differences in age, gender, length of fixation and preoperative BMD were found between both groups. The loosening group showed lower CT HU values in the vertebral body and screw trajectory than the non-loosening group. Screw trajectory HU (ST-HU) exhibited a higher AUC value than vertebral body HU (B-HU). The cutoff values of B-HU and ST-HU were 160 and 110 HUs, respectively. Conclusion: Three-dimensional pedicle screw trajectory HU values yields a stronger predictive value than vertebral body HU values and BMD and may provide more guidance for surgery. The risk of screw loosening is significantly increased at ST-HU <110 or B-HU <160 at L5 segment.


Subject(s)
Pedicle Screws , Spinal Diseases , Spinal Fusion , Humans , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/surgery , Retrospective Studies , Bone Density , Spinal Fusion/adverse effects , Spinal Fusion/methods
14.
Small ; 19(10): e2206698, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36642791

ABSTRACT

Pyrochlore ruthenate (Y2 Ru2 O7-δ ) is highlighted as a promising oxygen evolution reaction (OER) catalyst for water splitting in polymer electrolyte membrane electrolyzers. However, an efficient electronic modulation strategy for Y2 Ru2 O7-δ is required to overcome its electrochemical inertness. Herein, a surface manipulation strategy involving implanting MoOx moieties on nano Y2 Ru2 O7-δ (Mo-YRO) using wet chemical peroxone method is demonstrated. In contrast to electronic structure regulation by intramolecular charge transfer (i.e., substitutional strategies), the heterogeneous Mo-O-Ru micro-interfaces facilitate efficient intermolecular electron transfer from [RuO6 ] to MoOx . This eliminates the bandgap by inducing Ru 4d delocalization and band alignment rearrangement. The MoOx modifiers also alleviate distortion of [RuO6 ] by shortening Ru-O bond and enlarging Ru-O-Ru bond angle. This electronic and geometric structure tailoring enhances the OER performance, showing a small overpotential of 240 mV at 10 mA cm-2 . Moreover, the electron-accepting MoOx moieties provide more electronegative surfaces, which serve as a protective "fence" to inhibit the dissolution of metal ions, thereby stabilizing the electrochemical activity. This study offers fresh insights into the design of new-based pyrochlore electrocatalysts, and also highlights the versatility of surface engineering as a way of optimizing electronic structure and catalytic performance of other related materials.

15.
BMC Infect Dis ; 23(1): 35, 2023 Jan 20.
Article in English | MEDLINE | ID: mdl-36670360

ABSTRACT

BACKGROUND: Escherichia fergusonii is a rare opportunistic pathogen in humans and animals, especially with biofilm. METHODS: In one case, E. fergusonii with biofilm was detected in the bile, and silver staining was used to prove it had biofilm. The clinical characteristics and drug susceptibility of eight cases of E. fergusonii retrieved from the literature were also summarized. RESULTS: This is a case of E. fergusonii with biofilm, which has not been reported in China. The 8 cases retrieved from the literature did not specify whether they had biofilm, but we analyzed their clinical characteristics and drug susceptibility. All patients were treated with antimicrobial drugs. 8 cases showed sensitivity to piperacillin/tazobactam and imipenem in 6 cases (75%), but poor sensitivity to levofloxacin and ciprofloxacin. CONCLUSION: The silver staining method proved biofilm in this case, which is the first case of E. fergusonii with biofilm in China.


Subject(s)
Anti-Bacterial Agents , Anti-Infective Agents , Animals , Humans , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Escherichia , Biofilms , Microbial Sensitivity Tests
16.
Adv Mater ; 35(6): e2207995, 2023 Feb.
Article in English | MEDLINE | ID: mdl-36417324

ABSTRACT

Structurally ordered L10 -iron triad (Fe, Co, Ni)/Pt with a M(iron triad)/Pt ratio ≈1:1 has drawn increasing attention in oxygen reduction reaction (ORR) electrocatalysis and fuel cell technologies by virtue of the high performance derived from their strong surface strain. However, the synthesis of intermetallic L10 -M(iron triad)Pt generally requires the accurate content control of the multicomponent and the sufficient thermal energy to overcome the kinetic barrier for atom diffusion. This work reports a synthesis of sub ≈5 nm L10 -intermetallic nanoparticles using phosphide intermediate-induced structural phase transition. Taking the L10 -CoPt intermetallic, for example, the formation of the L10 structure depends on the Co2 P intermediates can provide abundant P vacancies to accelerate the Pt diffusion into the orthorhombic Co-rich skeletons, instead of the traditional route of intermetallic from solid solution. L10 -CoPt prepared by this method has a high degree of ordering and shows the broad adaptability of various Pt-based electrocatalysts with different loading and states to improve their electrocatalytic performance. Additionally, the other L10 -M(iron triad)Pt intermetallics, i.e., L10 -NiPt and L10 -FePt, are also prepared through this phosphide-induced phase transition. The findings provide a promising strategy for designing other intermetallic materials alloy materials using a structural phase transition induced by a second phase.

17.
BMC Pulm Med ; 22(1): 438, 2022 Nov 23.
Article in English | MEDLINE | ID: mdl-36424599

ABSTRACT

BACKGROUND: Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) have considerably high mortality and re-hospitalisation rate. Diaphragmatic dysfunction (DD) is common in COPD patients. However, whether diaphragmatic dysfunction is related to acute exacerbation is yet to be elucidated. This study aimed to evaluate the diaphragm function by magnetic resonance imaging (MRI) in COPD patients and assess whether the impact of DD may help predict AECOPD. METHODS: 20 healthy adult volunteers and 80 COPD patients were enrolled. The diaphragms function parameters were accessed by MRI. Patients were guided to start self-management by the Telehealth-based monitoring system following the enrolment. Events of acute exacerbation of COPD were recorded by the system and confirmed by healthcare providers. Binary univariate and multivariate logistic regression analyses were performed to investigate the factors associated with the frequency of AECOPD. Receiver operating characteristic (ROC) curves were further used to assess the value of prediction indexes. RESULTS: Fifty-nine COPD patients completed a one-year follow-up based on the Telehealth-based monitoring system. The clinical outcomes showed that the diaphragm function parameters at the end of maximal breathing were lower in the COPD group than in the healthy control group (P < 0.05). ANOVA showed significant differences among Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages for diaphragm function parameters, including chest wall motion, lung area, upper-lower diameter, and the diaphragm thickening fraction at the end of maximal breathing (P < 0.05). Moreover, significant differences in diaphragm function parameters were observed between patients with infrequent AECOPD (n = 28) and frequent AECOPD (n = 31) based on the frequency of AECOPD (P < 0.05). The diaphragm thickening fraction and the chest wall motion were associated with AECOPD after adjusting for age, sex, BMI, and lung functions, and the combination of predictions showed better accuracy in predicting the frequency of AECOPD. CONCLUSIONS: In COPD patients, diaphragm function parameters correlate with the severity of airflow limitation. The diaphragm thickening fraction and the chest wall motion were associated with the frequency of AECOPD and can predict it.


Subject(s)
Pulmonary Disease, Chronic Obstructive , Telemedicine , Adult , Humans , Diaphragm/diagnostic imaging , Prospective Studies , Magnetic Resonance Imaging
18.
Front Surg ; 9: 987500, 2022.
Article in English | MEDLINE | ID: mdl-36211299

ABSTRACT

Objective: Vertebral augmentation techniques are widely used to treat osteoporotic vertebral compression fractures (OVCFs). Superior analgesic effects and shortened bed rest time means patients recover quickly, but prolonged unscheduled hospitalization can increase medical expenses and the risk of bed rest complications. The aim of this study was to investigate the reasons for prolonged hospitalization after vertebral augmentation surgery and to determine the relative risk factors. Methods: A single-center retrospective study was conducted to enroll patients with OVCFs and accepted vertebral augmentation surgery from January 2017 to December 2017. Clinical information was collected from the Hospital Information System (HIS). The criterion of delayed discharge was postoperative hospitalization more than 3 days. Telephone interviews and medical history evaluations were conducted to confirm the exact reason for retention. The risk factors were analyzed by multiple logistic regression. Results: Overall, 1,442 patients were included, and 191 (13.2%) stayed in the hospital for more than 3 days postoperatively. The reasons for delayed discharge were psychological factors (37.2%), residual pain (32.5%), cardiopulmonary complications (15.7%), nonspecific symptoms (8.4%), incision abnormalities (2.6%), thrombosis (2.1%), and postanesthesia reactions (1.6%). The multiple logistic model was significant; age (OR 1.028; 95% CI 1.009-1.046), preoperative stay (OR 1.192; 95% CI 1.095-1.298), operation type (OR 1.494; 95% CI 1.019-2.189), and the number of surgical segments (OR 2.238; 95% CI 1.512-3.312) showed statistical significance. In contrast, gender (P > 0.1) and chronic comorbidities (P > 0.1) were not predictors in this model. Conclusion: Overall, 13.2% of OVCF patients who underwent vertebral augmentation surgery were not discharged within 3 days postoperatively, and several predictors were found. Preoperative communication and comprehensive evaluations are calling for more attention; physicians should adopt an appropriate medical process to enhance rehabilitation in geriatric orthopedics.

19.
Opt Express ; 30(16): 28954-28965, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-36299081

ABSTRACT

A visible light depth modulation based on a metasurface consisting of TiO2 nanorings and SiO2 substrate is proposed to significantly enhance the saturation and structural colors' gamut. Compared with the nanostructure of the TiO2 nanodisks, the developed TiO2 nanorings can enhance monochromatic excitation by inhibiting the multipole mode, particularly electric quadrupole (EQ) mode at a shorter wavelength. Furthermore, when TiO2 nanorings are combined with a refractive index matching layer - water, reflection bandwidth, and background reflection are reduced, and the brightness and color purity are significantly enhanced. The novel and unique nanostructures developed can generate a significant gamut of 140% sRGB and 103% Adobe RGB. Additionally, the color structure based on the TiO2 nanoring metasurface is sensitive to the surrounding medium's refractive index and can be employed in sensor display and other fields, as well as to amplify color information in high resolution display and imaging applications.

20.
Front Endocrinol (Lausanne) ; 13: 849076, 2022.
Article in English | MEDLINE | ID: mdl-35518930

ABSTRACT

Purpose: As an important public health problem, osteoporosis (OP) in China is also in an upward trend year by year. As a standard method for diagnosing OP, dual-energy X-ray absorptiometry (DXA) cannot analyze the pathological process but only see the results. It is difficult to evaluate the early diagnosis of OP. Our study was carried out through a serum metabolomic study of OP in Chinese postmenopausal women on untargeted gas chromatography (GC)/liquid chromatography (LC)-mass spectrometry (MS) to find possible diagnostic markers. Materials and Methods: 50 Chinese postmenopausal women with osteoporosis and 50 age-matched women were selected as normal controls. We first used untargeted GC/LC-MS to analyze the serum of these participants and then combined it with a large number of multivariate statistical analyses to analyze the data. Finally, based on a multidimensional analysis of the metabolites, the most critical metabolites were considered to be biomarkers of OP in postmenopausal women. Further, biomarkers identified relevant metabolic pathways, followed by a map of metabolic pathways found in the database. Results: We found that there may be metabolic pathway disorders like glucose metabolism, lipid metabolism, and amino acid metabolism in postmenopausal women with OP. 18 differential metabolites are considered to be potential biomarkers of OP in postmenopausal women which are a major factor in metabolism and bone physiological function. Conclusion: These findings can be applied to clinical work through further validation studies. It also shows that metabonomic analysis has great potential in the application of early diagnosis and recurrence monitoring in postmenopausal OP women.


Subject(s)
Osteoporosis, Postmenopausal , Osteoporosis , Biomarkers , Chromatography, Liquid , Female , Humans , Osteoporosis/metabolism , Osteoporosis, Postmenopausal/diagnosis , Tandem Mass Spectrometry/methods
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