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Background and Purpose: Ischemic stroke is a leading cause of mortality and disability globally, necessitating accurate prediction of intra-hospital mortality (IHM) for improved patient care. This study aimed to develop a practical nomogram for personalized IHM risk prediction in ischemic stroke patients. Methods: A retrospective study of 422 ischemic stroke patients (April 2020 - December 2021) from Chongqing Medical University's First Affiliated Hospital was conducted, with patients divided into training (n=295) and validation (n=127) groups. Data on demographics, comorbidities, stroke risk factors, and lab results were collected. Stroke severity was assessed using NIHSS, and stroke types were classified by TOAST criteria. Least absolute shrinkage and selection operator (LASSO) regression was employed for predictor selection and nomogram construction, with evaluation through ROC curves, calibration curves, and decision curve analysis. Results: LASSO regression and multivariate logistic regression identified four independent IHM predictors: age, admission NIHSS score, chronic obstructive pulmonary disease (COPD) diagnosis, and white blood cell count (WBC). A highly accurate nomogram based on these variables exhibited excellent predictive performance, with AUCs of 0.958 (training) and 0.962 (validation), sensitivities of 93.2% and 95.7%, and specificities of 93.1% and 90.9%, respectively. Calibration curves and decision curve analysis validated its clinical applicability. Conclusion: Age, admission NIHSS score, COPD history, and WBC were identified as independent IHM predictors in ischemic stroke patients. The developed nomogram demonstrated high predictive accuracy and practical utility for mortality risk estimation. External validation and prospective studies are warranted for further confirmation of its clinical efficacy.
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Mortalidad Hospitalaria , Accidente Cerebrovascular Isquémico , Nomogramas , Humanos , Masculino , Femenino , Accidente Cerebrovascular Isquémico/mortalidad , Anciano , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Curva ROC , Medición de Riesgo/métodos , Modelos Logísticos , Índice de Severidad de la Enfermedad , Enfermedad Pulmonar Obstructiva Crónica/mortalidad , Factores de Edad , Recuento de Leucocitos , Anciano de 80 o más Años , China/epidemiologíaRESUMEN
Background and purpose: Clinically, the ability to identify individuals at risk of ischemic stroke remains limited. This study aimed to develop a nomogram model for predicting the risk of acute ischemic stroke. Methods: In this study, we conducted a retrospective analysis on patients who visited the Department of Neurology, collecting important information including clinical records, demographic characteristics, and complete hematological tests. Participants were randomly divided into training and internal validation sets in a 7:3 ratio. Based on their diagnosis, patients were categorized as having or not having ischemic stroke (ischemic and non-ischemic stroke groups). Subsequently, in the training set, key predictive variables were identified through multivariate logistic regression and least absolute shrinkage and selection operator (LASSO) regression methods, and a nomogram model was constructed accordingly. The model was then evaluated on the internal validation set and an independent external validation set through area under the receiver operating characteristic curve (AUC-ROC) analysis, a Hosmer-Lemeshow goodness-of-fit test, and decision curve analysis (DCA) to verify its predictive efficacy and clinical applicability. Results: Eight predictors were identified: age, smoking status, hypertension, diabetes, atrial fibrillation, stroke history, white blood cell count, and vitamin B12 levels. Based on these factors, a nomogram with high predictive accuracy was constructed. The model demonstrated good predictive performance, with an AUC-ROC of 0.760 (95% confidence interval [CI]: 0.736-0.784). The AUC-ROC values for internal and external validation were 0.768 (95% CI: 0.732-0.804) and 0.732 (95% CI: 0.688-0.777), respectively, proving the model's capability to predict the risk of ischemic stroke effectively. Calibration and DCA confirmed its clinical value. Conclusions: We constructed a nomogram based on eight variables, effectively quantifying the risk of ischemic stroke.
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The intelligent appearance quality classification method for Auricularia auricula is of great significance to promote this industry. This paper proposes an appearance quality classification method for Auricularia auricula based on the improved Faster Region-based Convolutional Neural Networks (improved Faster RCNN) framework. The original Faster RCNN is improved by establishing a multiscale feature fusion detection model to improve the accuracy and real-time performance of the model. The multiscale feature fusion detection model makes full use of shallow feature information to complete target detection. It fuses shallow features with rich detailed information with deep features rich in strong semantic information. Since the fusion algorithm directly uses the existing information of the feature extraction network, there is no additional calculation. The fused features contain more original detailed feature information. Therefore, the improved Faster RCNN can improve the final detection rate without sacrificing speed. By comparing with the original Faster RCNN model, the mean average precision (mAP) of the improved Faster RCNN is increased by 2.13%. The average precision (AP) of the first-level Auricularia auricula is almost unchanged at a high level. The AP of the second-level Auricularia auricula is increased by nearly 5%. And the third-level Auricularia auricula AP is increased by 1%. The improved Faster RCNN improves the frames per second from 6.81 of the original Faster RCNN to 13.5. Meanwhile, the influence of complex environment and image resolution on the Auricularia auricula detection is explored.
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Aprendizaje Profundo , Algoritmos , Redes Neurales de la Computación , Procesamiento de Imagen Asistido por Computador/métodos , HumanosRESUMEN
PURPOSE: This study aimed to identify and quantify the association and investigate whether serum vitamin B12 alone or vitamin B12 combined with folate and plasma total homocysteine (tHcy) levels could be used to predict the risk of acute ischemic stroke. MATERIALS AND METHODS: This retrospective case-control study was conducted in the Department of Neurology, First Affiliated Hospital of Chongqing Medical University. It included 259 inpatients experiencing their first-ever acute ischemic stroke and 259 age-matched, sex-matched healthy controls. Patients were categorized into groups based on the etiology of their stroke: large-artery atherosclerosis (LAAS, n = 126), cardio embolism (CEI, n = 35), small vessel disease (SVD, n = 89), stroke of other determined etiology (ODE, n = 5), and stroke of undetermined etiology (UDE, n = 4). The associations of serum vitamin B12, folate, and plasma tHcy levels with the risk of ischemic stroke were evaluated using multivariable logistic regression analysis. Receiver operator characteristic (ROC) curves were used to assess the diagnostic power of vitamin B12, folate, and tHcy levels for ischemic stroke. RESULTS: Serum vitamin B12 and folate levels were significantly lower in ischemic stroke patients compared to controls, while plasma tHcy levels were significantly higher. The first quartile of serum vitamin B12 levels was significantly associated with an increased risk of LAAS (aOR = 2.289, 95% CI = 1.098-4.770), SVD (aOR = 4.471, 95% CI = 1.110-4.945) and overall ischemic stroke (aOR = 3.216, 95% CI = 1.733-5.966). Similarly, the first quartile of serum folate levels was associated with an increased risk of LAAS (aOR = 3.480, 95% CI = 1.954-6.449), CEI (aOR = 2.809, 95% CI = 1.073-4.991), SVD (aOR = 5.376, 95% CI = 1.708-6.924), and overall ischemic stroke (aOR = 3.381, 95% CI = 1.535-7.449). The fourth quartile of tHcy levels was also significantly associated with an increased risk of LAAS (aOR = 2.946, 95% CI = 1.008-5.148), CEI (aOR = 2.212, 95% CI = 1.247-5.946), SVD (aOR = 2.957, 95% CI = 1.324-6.054), and overall ischemic stroke (aOR = 2.233, 95% CI = 1.586-4.592). For predicting different types of ischemic stroke, vitamin B12 alone demonstrated the best diagnostic value for SVD, evidenced by a sensitivity of 71.0% and negative predictive value of 90.3%, along with the highest positive likelihood ratio (+ LR) for SVD. Vitamin B12 + tHcy + folate are valuable in predicting different types of ischemic stroke, with the most significant effect observed in SVD, followed by LAAS, and the weakest predictive effect in CEI. Additionally, vitamin B12 alone in combination with other indicators, such as folate alone, tHcy alone, and folate + tHcy could reduce negative likelihood ratio (-LR) and improve + LR. CONCLUSIONS: Vitamin B12 was an independent risk factor for acute ischemic stroke. The risk calculation model constructed with vitamin B12 + tHcy + folate had the greatest diagnostic value for SVD.
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Ácido Fólico , Homocisteína , Accidente Cerebrovascular Isquémico , Vitamina B 12 , Humanos , Vitamina B 12/sangre , Ácido Fólico/sangre , Homocisteína/sangre , Estudios Retrospectivos , Femenino , Masculino , Estudios de Casos y Controles , Persona de Mediana Edad , Accidente Cerebrovascular Isquémico/sangre , Accidente Cerebrovascular Isquémico/epidemiología , Anciano , Factores de Riesgo , Curva ROC , Accidente Cerebrovascular/sangreRESUMEN
In 3D microsphere tracking, unlike in-plane motion that can be measured directly by a microscope, axial displacements are resolved by optical interference or a diffraction model. As a result, the axial results are affected by the environmental noise. The immunity to environmental noise increases with measurement accuracy and the signal-to-noise ratio (SNR). In compound digital holography microscopy (CDHM)-based measurements, precise identification of the tracking marker is critical to ensuring measurement precision. The reconstruction centering method (RCM) was proposed to suppress the drawbacks caused by installation errors and, at the same time, improve the correct identification of the tracking marker. The reconstructed center is considered to be the center of the microsphere, rather than the center of imaging in conventional digital holographic microscopy. This method was verified by simulation of rays tracing through microspheres and axial moving experiments. The axial displacements of silica microspheres with diameters of 5 µm and 10 µm were tested by CDHM in combination with the RCM. As a result, the SNR of the proposed method was improved by around 30%. In addition, the method was successfully applied to axial displacement measurements of overlapped microspheres with a resolution of 2 nm.
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A novel approach to chemoselective synthesis of biologically important CF3 -subsituted pyrazolines was developed via a Lewis base catalyzed intermolecular triazene cycloaddition reaction of an array of terminal/internal alkenes with CF3 CHN2 . This strategy features a catalytic amount of 1,8-diazabicyclo[5.4.0]undec-7-ene, high yields (up to 95 %), wide substrate scope and excellent functional group tolerance (54 examples). Importantly, we preformed scaffold diversification of a panel of known pharmaceuticals, natural products, and bioactive heterocycles to generate the corresponding pyrazoline derivatives with potential broad bioactivities for further development.
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The correlation between water changes and quality deterioration of Litopenaeus vannamei during partial freezing storage was evaluated in this study. Significant increases in cross-sectional area and equivalent diameter are detected, but the roundness and longiness of the ice crystals show irregular growth. Within the extension of storage, the bound water (T2b) and immobilized water (T21) decreased significantly. However, the free water (T22) increased significantly. Quality determination showed significant decrease in total sulfhydryl and Ca2+-ATPase, but significant increase in disulfide bonds during storage. Correlation analysis revealed that cross-sectional area showed significant negative correlation with total sulfhydryl and Ca2+-ATPase, while significant positive correlation with disulfide bonds, respectively. The correlation between water distribution index and Ca2+-ATPase, disulfide bonds was significant, respectively. Predicted models for the growth of ice crystals with respect to cross-sectional area and equivalent diameter size have been developed with the help of the Arrhenius model.
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Penaeidae , Agua , Animales , Congelación , Agua/metabolismo , Hielo/análisis , Almacenamiento de Alimentos/métodos , Penaeidae/química , Disulfuros/análisisRESUMEN
Cardiomyocytes injury has been considered as a key contributor for myocardial infarction (MI). Uric acid (UA) can induce cardiomyocytes injury, which is closely related to NLRP3 activation and inflammatory factor generation. However, the mechanism how UA modulates cardiomyocytes remains elusive. Western blotting and qRT-PCR were applied for measuring protein and mRNA expression, respectively. ROS production and Ca2+ influx were measured by flow cytometry. Patch clamp technique was used for measuring transient receptor potential melastatin 2 (TRPM2) channel. Ligation of left anterior descending for 2 h was performed to induce MI animal model. The rats were treated by different concentration of uric acid. The artery tissues were stained by HE and collected for measurement of NLRP3 and inflammatory factors. Supplementation of UA significantly promoted apoptosis, and augmented the expression of intercellular adhesion molecule-1, chemoattractant protein-1, vascular cell adhesion molecule-1, and NLRP3 inflammasome. Knockdown of NLRP3 reversed the influence of UA on MI by decreasing collagen deposition, fibrotic area, apoptosis. The expression of NLRP3 inflammasome increased markedly after treatment of UA. UA activated ROS/TRPM2/Ca2+ pathway through targeting NLRP3. UA activated NLRP3 inflammasome and augments inflammatory factor production, which in turn exacerbates cardiomyocytes injury. Knockdown of NLRP3 reversed the influence of UA on apoptosis and cell cycle. UA may promote cardiomyocytes injury through activating NLRP3 inflammasome and ROS/TRPM2 channel/Ca2+ pathway.
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Infarto del Miocardio , Canales Catiónicos TRPM , Ratas , Animales , Inflamasomas/metabolismo , Especies Reactivas de Oxígeno/metabolismo , Proteína con Dominio Pirina 3 de la Familia NLR/genética , Proteína con Dominio Pirina 3 de la Familia NLR/metabolismo , Ácido Úrico/farmacología , Canales Catiónicos TRPM/genética , Canales Catiónicos TRPM/metabolismo , Dominio Pirina , Proteínas Portadoras , Infarto del Miocardio/genéticaRESUMEN
A qualitative analysis of melamine-adulterated milk was proposed based on two-trace two-dimensional (2T2D) auto-correlation spectra. The concentration of melamine was used as external perturbation, and 40 adulterated samples of each brand with different concentrations of melamine (0.01 g/L to 1 g/L) were configured. Four brands of milk were used to configure experimental samples, including Guangming brand, Mengniu brand, Sanyuan brand and Wandashan brand. Spectroscopic data of pure milk and melamine-adulterated milk were measured by infrared (IR) (80-4000 cm-1) spectrophotometer. 2T2D auto-correlation spectral technology combined with least squares support vector machine (LS-SVM) method was used for qualitative analysis. The two strongest auto-correlation peaks in the auto-correlation spectra were selected for modeling. For Guangming brand, the intensities of auto-correlation at two wave numbers 2898 cm-1 and 2972 cm-1 were selected as independent variables. For Mengniu brand, the intensities of auto-correlation at two wave numbers 2852 cm-1 and 2920 cm-1 were selected. For Sanyuan brand, the intensities of auto-correlation at two wave numbers 2900 cm-1 and 2974 cm-1 were selected. For Wandashan brand, the intensities of auto-correlation at two wave numbers 2900 cm-1 and 2974 cm-1 were selected. For four brands fused together, the intensities of auto-correlation at two wave numbers 2900 cm-1 and 2974 cm-1 were selected. For each brand, the accuracy of qualitative analysis was 100 %. For four brands fused together, the accuracy of qualitative analysis was 99.05 %. In this way, it greatly reduced the amount of data to be processed. This study showed that 2T2D auto-correlation spectral technology combined with LS-SVM method was perfect for the discrimination of melamine-adulterated milk.
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Contaminación de Alimentos , Leche , Animales , Leche/química , Contaminación de Alimentos/análisis , Espectroscopía Infrarroja Corta , Análisis de los Mínimos Cuadrados , Máquina de Vectores de SoporteRESUMEN
In order to improve the discrimination accuracy of adulterated milk, a detection method was proposed based on temperature-perturbed generalized two-dimensional (2D) correlation characteristic slice spectra. A total of 240 samples were prepared including three brands of 40 pure milk and 40 urea-tainted milk, respectively. The infrared attenuated total reflection spectra of each sample were collected at different temperatures. Synchronous 2D infrared correlation spectrum of each sample was calculated under the external perturbation of temperature. The characteristic slice spectra of each sample were extracted from synchronous 2D correlation spectrum at characteristic peaks of milk and adulterants. N-way partial least squares discriminant analysis (NPLS-DA) models of single brand and the fusion of three brands of adulterated milk were established based on 2D correlation characteristics slice spectra. For comparison, the discrimination models were established using synchronous 2D correlation spectra and one-dimensional (1D) infrared spectra at room temperature, respectively. For the three brand fusion models, the discrimination accuracies of unknown samples were 100%, 98.8% and 82.7% using 2D correlation characteristic slice spectra, 2D correlation spectra, and 1D spectra, respectively. The results showed that the proposed method not only compressed the data, but also effectively extracted the characteristic information, and improved the accuracy of discrimination.
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Contaminación de Alimentos , Leche , Animales , Temperatura , Contaminación de Alimentos/análisis , Espectroscopía Infrarroja Corta/métodos , Análisis de los Mínimos CuadradosRESUMEN
The discrimination approach of adulterated milk was proposed combined synchronous two-trace two-dimensional (2T2D) correlation slice spectra at the characteristic wavebands of adulterant in milk with multivariate method. Two common adulterants, melamine and urea, were analyzed to demonstrate useful by the method. 2T2D (near infrared) NIR slice spectra at characteristic wavebands of adulterant were extracted from the synchronous 2T2D correlation spectra, and were input to construct the N-way partial least squares discriminant analysis (NPLS-DA) models. One-dimensional (1D) spectroscopy featuring all the present components in the samples combined with partial least squares discriminant analysis (PLS-DA) was also evaluated for comparison. The results indicated that for one kind of adulterant in model, prediction accuracies of slice spectral models were both 100% for melamine-adulterated and urea-adulterated samples discrimination. Moreover, for two kinds of adulterants in model, prediction accuracies of slice spectral models were 90.57% and 100% for melamine-adulterated and urea-adulterated discrimination, respectively, which was better than those of 1D whole models based on PLS-DA (only 81.13% and 98.15%, respectively). The comparison informs that the 2T2D slice spectra extracted at the characteristic wavebands of adulterant highlighted the adulterant spectral features and was obviously advantage to improve the discrimination accuracy. Meanwhile, the complexity of slice spectra is significantly reduced compared with the whole matrix of synchronous 2T2D correlation spectra.
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Contaminación de Alimentos , Leche , Animales , Análisis Discriminante , Contaminación de Alimentos/análisis , Análisis de los Mínimos Cuadrados , Leche/química , Espectroscopía Infrarroja Corta/métodos , UreaRESUMEN
The discrimination method for adulterated milk is proposed based on temperature-perturbed two-dimensional (2D) infrared correlation spectroscopy and N-way partial least squares discriminant analysis (NPLS-DA). Two brands of pure and adulterated milk samples were prepared. The mid-infrared spectra of all samples were obtained from 30 â to 55 â with an interval of 5 â. Under the perturbation of temperature, synchronous 2D correlation spectra were calculated to build discrimination models of pure milk and adulterated milk. In comparison, the NPLS-DA models were built based on three-dimensional (3D) stacked map (sample × temperature × wavenumber variable). For the NPLS-DA models of two brands of milk, the discrimination accuracy of unknown samples in the prediction set is 100% using temperature-perturbed 2D infrared correlation spectra, versus 77.8% using conventional 3D stacked map. The proposed method can be used as an alternative way for classifying pure and adulterated milk.
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Contaminación de Alimentos , Leche , Animales , Contaminación de Alimentos/análisis , Análisis de los Mínimos Cuadrados , Leche/química , Análisis Multivariante , Espectroscopía Infrarroja Corta/métodos , TemperaturaRESUMEN
We propose a rational electrode design concept for affinity biosensors based on electrochemical impedance spectroscopy to substantially suppress unexpected device-to-device variations. On the basis that the uniformity of the current distribution affects the variation, a novel micro-gap parallel plate electrode (PPE) was developed, where two planar electrodes with edges covered with a SiO2 layer were placed face to face. The structure provides a uniform current distribution over the planar electrode surface and maximizes the contribution of the planar electrode surface to sensing. For a comparative study, we also fabricated a micro-structured interdigitated electrode (IDE) that has been widely adopted for high-sensitivity measurement, although its current is highly concentrated on the electrode edge corner. Protein G (PrG) molecules were immobilized on both electrodes to prepare an immunoglobulin G (IgG) biosensor on which the specific binding of PrG-IgG can occur. We demonstrated that the IgG sensor with the PPE has small device-to-device variations, in strong contrast to the sensor with the IDE having large device-to-device variations. The results indicate that the current distribution on the electrode surface is important to fabricating electrochemical impedance spectroscopy biosensors with small device-to-device variations. Furthermore, it was found that the PPE allows ultrasensitive detection, that is, the sensor exhibited a linear range from 1 × 10-13 to 1 × 10-7 mol/L with a detection limit of 1 × 10-14 mol/L, which is a record sensitivity at low concentrations for EIS-based IgG sensors.
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Biochar (i.e., pyrochar and hydrochar) application is a promising strategy to improve soil quality and productivity. However, the comparison of biochars with different carbonization methods and feedstocks for the plant growth in the coastal salt-affected soil remains limited. In this study, a 30-day microcosmic experiment was conducted to compare the effects of pyrochars and hydrochars derived from reed straw (RPC and RHC) and cow manure (CPC and CHC) on the peanut (Arachis hypogaea L.) seedling growth in a coastal salt-affected soil of Yellow River Delta, China. The results showed that RPC, CHC and CPC significantly elevated fresh shoot weight by 67.77%-89.37%, whereas the RHC amendment showed little effect. The malondialdehyde contents in peanut seedling leaves were significantly declined by 25.28%-35.51% with pyrochar and hydrochar amendments, which might be associated with the enhanced proline contents and K/Na ratios. The stimulation of certain phytohormones (i.e., indole-3-acetic acid, zeatin riboside, gibberellic acid 3) in peanut seedlings with pyrochar and hydrochar amendments might be attributed to the growth enhancement. RPC, CPC and CHC improved the soil properties and fertility such as cation-exchange capacity (CEC), total nitrogen, and available potassium and water holding capacity (WHC) of the coastal salt-affected soil. However, RHC not only significantly decreased soil CEC and WHC, but also increased soil exchangeable sodium percentage. The abundances of soil beneficial bacteria, such as f_Gemmatimonadacea, Sphingomonas, Blastococcus and Lysobacter were enhanced by RPC, CHC and CPC amendments, which were mainly associated with the increased WHC and CEC. Fungal community was less sensitive to pyrochar and hydrochar amendments than bacterial community according to the relative abundance and diversity, and beneficial fungi, such as Oidiodendron and Sarocladium were enriched in the CHC soil. Overall, the application of RPC, CHC and CPC showed greater potentials for the enhancement of peanut growth in a coastal salt-affected soil.
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Plantones , Suelo , Arachis , Carbón Orgánico , Estiércol , Ríos , AguaRESUMEN
To improve the robustness of near infrared (NIR) identification models for the milk adulteration, a novel approach was explored based on asynchronous two-dimensional correlation spectroscopy (2D-COS) slice spectra obtained at characteristic wavebands for pure milk and adulterant combined with an N-way partial least squares discriminant analysis (NPLS-DA). NIR diffuse reflectance spectra from four different brands, Guangming (GM), Mengniu (MN), Sanyuan (SY), and Wandashan (WDS), were collected in range of 11,000 to 4000 cm-1. Influence of brands on discrimination models for adulterated milk was analyzed. The asynchronous 2D-COS slice spectra at 10 characteristics wavebands, including 4 wavebands for pure milk and 6 wavebands for urea, were input into NPLS-DA to construct discriminant models. External validations using five independent calibration sets from intrabrand or interbrand were established. The same prediction set of 26 SY samples was used to assess the prediction ability of different calibration sets and compared with traditional one-dimensional (1D) NIR spectra based on a partial least squares discriminant analysis (PLS-DA). It showed that for intrabrand model, the correct rates for the calibration and predication sets were 100% and 96.15%, respectively. For the interbrand model, the correct rates by the NPLS-DA for the calibration set of GM, MN, and WDS milk were both 100%. The corresponding rates for the prediction set were 73%, 88.46% and 69.23%, respectively, which were much higher than those of PLS-DA (only 50%, 53.83% and 50%, respectively). It was proven that model robustness was sensitive to changes in the milk brands. The proposed method can effectively reduce the influence of brands on the discrimination models.
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Contaminación de Alimentos , Leche , Animales , Análisis Discriminante , Contaminación de Alimentos/análisis , Análisis de los Mínimos Cuadrados , Leche/química , Espectroscopía Infrarroja CortaRESUMEN
The aim of this study was to test an effective nano-pole capsule loaded cis-platinum (CP) transplantation device for liver cancer (LC) therapy. A novel nano-pole capsule was designed as a new vector for storing CP. HepG2 cells and a B6/J mouse model were used to test the efficiency of polyethyleneimine-cis-platinum (PEI-CP) and poly-chitosan-cis-platinum (PC-CP). Infiltration efficiency and transplantation efficiency tests were performed to study the performance of the delivery system, and fibroblast reactions and macrophage numbers were observed, to test for immune rejection and foreign body reactions. The apoptosis rate and tumor diameter of hepatocellular carcinoma cells were used to evaluate the effect of the tumor therapy. We also studied the functional mechanism of different CP delivery systems. The infiltration and transplantation efficiencies of PC-CP were higher than that of PEI-CP; Less foreign body reaction appeared in PC system, with less fibroblast reaction and lower macrophage reaction. The clinical efficacy of PC-CP in terms of tumor apoptosis and diameter reduction was superior to that of PEI-CP. We demonstrated that PC-CP had a more significant alteration effect on mTOR, P-Ak, LC3 and P53. The PC system can better deliver and release drugs than PEI-CP, and may be a better choice for LC therapy in the future.
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Quitosano , Neoplasias Hepáticas , Nanopartículas , Preparaciones Farmacéuticas , Animales , Cisplatino , Neoplasias Hepáticas/tratamiento farmacológico , Ratones , Polietileneimina , TransfecciónRESUMEN
OBJECTIVE: To explore the clinical value of intermittent pneumatic compression (IPC) combined with an electric stimulator in the prevention of venous thromboembolism in stroke patients. METHODS: 58 stroke patients with hemiplegia admitted to the Department of Neurology in our hospital were recruited as the study cohort and randomly placed into a control group or an observation group, with 29 patients in each group. The control group was administered routine care and IPC, and the observation group was administered electric stimulation in addition to the treatment administered to the control group. We conducted a comparison and an analysis of the occurrences of thrombosis, the blood rheology indexes, the femoral vein flow rates, and the nursing satisfaction levels in the two groups. The circumferences of the hemiplegia patients' lower extremities were measured and recorded, and the circumferences of the healthy sides and the affected limbs were compared. RESULTS: On the 7th day after the intervention, the observation group had a higher incidence of deep vein thrombosis (DVT) than the control group (6.90% vs. 31.03%, P<0.05). The hemorheology indexes were lower after the treatment, and the hemorheology indexes in the observation group were higher compared with the control group (P<0.05). The observation group had a higher femoral vein flow velocity than the control group (P<0.05). On the 7th and 14th days after the intervention, the peak flow and average flow velocities in the observation group exceeded those of the control group (P<0.05). The nursing satisfaction rate in the observation group was higher than it was in the control group (96.55% vs. 82.76%, P<0.05). After 7 and 14 days of treatment, smaller changes in the hemiplegic limbs of the observation group were observed, compared to the control group (P<0.05). CONCLUSION: IPC combined with an electrical stimulator can enhance the patients' blood hypercoagulability, effectively prevent the occurrence of DVT, and improve the nursing satisfaction levels.
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Single biomass feedstock approach may not meet the requirements for developing biochar with desired characteristics for use as soil amendment. In this study, biochars were prepared by co-pyrolysis of nutrients-rich Enteromorpha prolifera and lignocellulose-rich corn straw (CPECs) at different mass ratios (3:7, 1:1, and 7:3). CPECs presented higher water-soluble N/P contents than corn straw biochar, and exhibited larger surface area, low Na content, and slower nutrient release rate than Enteromorpha prolifera biochar. The modification in physicochemical and properties of CPECs enhanced its potential application as a soil amendment. A pot experiment showed that CPECs derived from co-pyrolysis of appropriate ratios of Enteromorpha prolifera and corn straw (1:1, 7:3) significantly increased the biomass of cherry tomato plant by 64.05%, 40.03% and 81.88%, 55.25%, when compared with corn straw biochar and Enteromorpha prolifera biochar, respectively. The positive effects of CPECs were primarily attributed to improved soil properties (e.g., water holding capacity, soil organic matter, pH, soil nutrients content) and increased total N/P uptake by plants. The results of this work provided potentials of developing "designer" biochars to meet the multiple soil requirements by co-pyrolysis.
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Suelo , Zea mays , Carbón Orgánico , PirólisisRESUMEN
BACKGROUND: Traumatic brain injury (TBI) has been a serious public health issue. Clinically, there is an urgent need for agents to ameliorate the neuroinflammation and oxidative stress induced by TBI. Our previous research has demonstrated that quercetin could protect the neurological function. However, the detailed mechanism underlying this process remains poorly understood. OBJECTIVE: This research was designed to investigate the mechanisms of quercetin to protect the cortical neurons. METHODS: A modified weight-drop device was used for the TBI model. 5, 20 or 50âmg/kg quercetin was injected intraperitoneally to rats at 0.5, 12 and 24âh post TBI. Rats were sacrificed three days post injury and their cerebral cortex was obtained from the injured side. The rats were randomly assigned into three groups of equal number: TBI and quercetin group, TBI group, and Sham group. The brain water content was calculated to estimate the brain damage induced by TBI. Immunohistochemical and Western blot assays were utilized to investigate the neurobehavioral status. Enzyme-linked immunosorbent assay and reverse transcription polymerase chain reaction were performed to evaluate the inflammatory responses. The cortical oxidative stress was measured by estimating the activities of malondialdehyde, superoxide dismutase, catalase and glutathione-Px. Western blot was utilized to evaluate the expression of nuclear factor erythroid 2-related factor 2 (Nrf-2) and heme oxygenase 1 (HO-1). RESULTS: Quercetin attenuated the brain edema and microgliosis in TBI rats. Quercetin treatment attenuated cortical inflammatory responses and oxidative stress induced by TBI insults. Quercetin treatment activated the cortical Nrf2/HO-1 pathway in TBI rats. CONCLUSIONS: Quercetin ameliorated the TBI-induced neuroinflammation and oxidative stress in the cortex through activating the Nrf2/HO-1 pathway.
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Lesiones Traumáticas del Encéfalo , Animales , Lesiones Traumáticas del Encéfalo/complicaciones , Lesiones Traumáticas del Encéfalo/tratamiento farmacológico , Corteza Cerebral/metabolismo , Modelos Animales de Enfermedad , Hemo-Oxigenasa 1/genética , Inflamación/tratamiento farmacológico , Factor 2 Relacionado con NF-E2/metabolismo , Enfermedades Neuroinflamatorias , Estrés Oxidativo , Quercetina/farmacología , Ratas , Transducción de SeñalRESUMEN
OBJECTIVES: To assess the protective effect of the glucagon-like peptide-1 receptor (GLP-1R) agonist morroniside against neuropathic pain and its downstream mechanisms of activating microglial GLP-1R/interleukin-10 (IL-10)/ß-endorphin antinociceptive pathway. METHODS: Spinal nerve ligation-induced neuropathic pain rats were intrathecally injected with morroniside, with mechanical paw withdrawal threshold being assessed. The expression of spinal and cultured microglia IL-10 and ß-endorphin were detected with qRT-PCR. KEY FINDINGS: Morroniside alleviated mechanical allodynia in neuropathic rats, which was blocked by inhibiting or depleting microglia. In addition, neutralizing spinal IL-10 or ß-endorphin with specialized antibodies or blocking the µ-opioid receptor was able to fully reverse the morroniside-induced mechanical antiallodynia. Morroniside treatment stimulated the gene expression of IL-10 and ß-endorphin in the spinal lumbar enlargements of neuropathic rats as well as in primary cultured microglia. Furthermore, pretreatment with the IL-10 antibody blocked morroniside-stimulated ß-endorphin expression in the spinal cords of neuropathic rats and cultured primary microglia, whereas the ß-endorphin antibody failed to affect morroniside-stimulated gene expression of IL-10. CONCLUSIONS: These results reveal that morroniside produces therapeutic effects in neuropathy through spinal microglial expression of IL-10 and subsequent ß-endorphin after activation of GLP-1R.