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1.
Artigo em Inglês | MEDLINE | ID: mdl-39137604

RESUMO

Scalloped spiny lobster (Panulirus homarus) aquaculture is the preferred strategy to resolve the conflict between supply and demand for lobster. Environmental conditions, such as salinity, are key to the success of lobster aquaculture. However, physiological responses of P. homarus to salinity stress have not been well studied. This study investigated the gill histology, osmoregulation and gill transcriptome of the early juvenile P. homarus (weight 19.04 ± 3.95 g) cultured at salinity 28 (control), 18, and 38 for 6 weeks. The results showed that the gill filaments of P. homarus exposed to low salinity showed severe separation of the cuticle and epithelial cells due to water absorption and swelling, as well as the dissolution and thinning of the cuticle and the rupture of the septum that separates the afferent and efferent channels. The serum osmolarity of P. homarus varied proportionately with external medium salinity and remained consistently above ambient osmolarity. The serum Na+, Cl-, K+, and Mg2+ concentrations P. homarus exhibited a pattern similar to that of serum osmolality, while the concentration of Ca2+ remained unaffected at salinity 18 but significantly increased at salinity 38. Gill Na+/K+-ATPase activity of P. homarus increased (p < 0.05) under the both salinity stress. Salinity 18 significantly increased Glutamate dehydrogenase (GDH) and Glutamicpyruvic transaminase (GPT) activity in the hepatopancreas of P. homarus (p < 0.05). According to transcriptome analysis, versus control group (salinity 28), 929 and 1095 differentially expressed genes (DEGs) were obtained in the gills of P. homarus at salinity 18 and 38, respectively, with these DEGs were mainly involved in energy metabolism, transmembrane transport and oxidative stress and substance metabolism. In addition, the expression patterns of 8 key DEGs mainly related to amino acid metabolism, transmembrane transport and oxidative stress were verified by quantitative real-time PCR (RT-qPCR). The present study suggests that salinity 18 has a greater impact on P. homarus than salinity 38, and P. homarus demonstrates effective osmoregulation and handle with salinity fluctuations (18 to 38) through physiological and functional adaptations. This study provides an improved understanding of the physiological response strategies of P. homarus facing salinity stress, which is crucial for optimizing aquaculture practices for this species.

2.
Int J Nurs Pract ; : e13276, 2024 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-39129297

RESUMO

AIM: Coronary heart disease (CHD) is a prevalent cardiovascular disease with high mortality rates worldwide. Patients with CHD often experience adverse psychological stress related to the disease's diagnosis, treatment and recovery phases. This stress can hurt sleep quality and overall quality of life. Mindfulness-based interventions (MBIs) have been studied as a psychotherapeutic approach to alleviating the psychological stress associated with CHD. This study aimed to determine the effectives of MBIs for health outcomes in patients with CHD. METHODS: A total of eight English-language databases were searched, and eight relevant studies were included in the analysis. The included studies were assessed for literature quality, and data were extracted and analysed using Review Manager 5.3. RESULTS: A total of eight studies involving 802 participants were included in the analysis. Compared to control groups, MBIs significantly reduced anxiety, depression, perceived stress, and systolic blood pressure. However, there was no significant effect on diastolic blood pressure, quality of life or body mass index. One study reported that MBIs significantly improved sleep quality in patients with acute myocardial infarction after percutaneous coronary intervention but had no significant effect on body mass index. CONCLUSION: MBIs had significant effects on anxiety and depression in patients with CHD, reduced perceived stress and were associated with reductions in systolic blood pressure and improvements in sleep quality. However, they did not significantly affect diastolic blood pressure, quality of life or body mass index.

3.
Vaccine ; 42(21): 126182, 2024 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-39116486

RESUMO

OBJECTIVES: This study was to assess the lot-to-lot consistency, immunogenicity and safety of three manufacturing lots of a quadrivalent inactivated influenza vaccine (IIV4). METHODS: A randomized, double-blind, phase IV clinical trial was conducted in healthy children, adolescents and adults aged 9-59 years in Guizhou Province, China. Eligible participants were enrolled and randomized into three groups in a ratio of 1:1:1 to receive a single dose of one of three manufacturing lots of IIV4. Serum samples were collected before and 28 days after vaccination for hemagglutination inhibition (HI) antibody testing. Safety data were collected for up to 28 days after vaccination. The primary objective was to evaluate the lot-to-lot consistency of immune response as assessed by the geometric mean titer (GMT) of HI antibody at 28 days after vaccination. RESULTS: Between November 27, 2022 and December 18, 2022, 1260 eligible participants were enrolled, with similar participant demographics among groups. Immune responses after vaccination were comparable across groups, with the 95% confidence intervals (CIs) of GMT ratios for all 4 strains falling into the equivalence criterion of (0.67, 1.5). The seroconversion rates (SCRs) and seroprotection rates (SPRs) met the US Center or Biologics Evaluation and Research (CBER) criteria for all strains for each lot (lower limit of 95% CI of SCR ≥ 40% and SPR ≥ 70%). The incidences of solicited and unsolicited adverse reactions were similar among three groups, most of which (91.9%) were mild or moderate in severity. A total of 11 serious adverse events were reported during the study, and all were considered unrelated to vaccination. CONCLUSION: The three manufacturing lots of IIV4 demonstrated consistent immunogenicity. IIV4 can elicit satisfactory immune responses for all four strains and no safety concerns were identified. CLINICAL TRIAL REGISTRATION: Identifier No. NCT05512494.


Assuntos
Anticorpos Antivirais , Testes de Inibição da Hemaglutinação , Imunogenicidade da Vacina , Vacinas contra Influenza , Influenza Humana , Vacinas de Produtos Inativados , Humanos , Vacinas contra Influenza/imunologia , Vacinas contra Influenza/efeitos adversos , Vacinas contra Influenza/administração & dosagem , Adolescente , Masculino , Feminino , Método Duplo-Cego , Criança , Adulto , Adulto Jovem , Vacinas de Produtos Inativados/imunologia , Vacinas de Produtos Inativados/efeitos adversos , Vacinas de Produtos Inativados/administração & dosagem , Anticorpos Antivirais/sangue , Influenza Humana/prevenção & controle , Influenza Humana/imunologia , Pessoa de Meia-Idade , China , Voluntários Saudáveis , Vacinação/métodos
4.
IEEE Trans Med Imaging ; PP2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39146167

RESUMO

In recent years, score-based diffusion models have emerged as effective tools for estimating score functions from empirical data distributions, particularly in integrating implicit priors with inverse problems like CT reconstruction. However, score-based diffusion models are rarely explored in challenging tasks such as metal artifact reduction (MAR). In this paper, we introduce the BiConstraints Diffusion Model for Metal Artifact Reduction (BCDMAR), an innovative approach that enhances iterative reconstruction with a conditional diffusion model for MAR. This method employs a metal artifact degradation operator in place of the traditional metal-excluded projection operator in the data-fidelity term, thereby preserving structure details around metal regions. However, scorebased diffusion models tend to be susceptible to grayscale shifts and unreliable structures, making it challenging to reach an optimal solution. To address this, we utilize a precorrected image as a prior constraint, guiding the generation of the score-based diffusion model. By iteratively applying the score-based diffusion model and the data-fidelity step in each sampling iteration, BCDMAR effectively maintains reliable tissue representation around metal regions and produces highly consistent structures in non-metal regions. Through extensive experiments focused on metal artifact reduction tasks, BCDMAR demonstrates superior performance over other state-of-the-art unsupervised and supervised methods, both quantitatively and in terms of visual results.

5.
J Anim Sci Biotechnol ; 15(1): 107, 2024 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-39107819

RESUMO

BACKGROUND: Silage is widely used to formulate dairy cattle rations, and the utilization of antibiotics and methane emissions are 2 major problems for a sustainable and environmentally beneficial ruminant production systems. Bacteriocin has received considerable attention because of its potential as an alternative to antibiotics in animal husbandry. However, the impact of bacteriocin-producing lactic acid bacteria on the microbiological conversion process of whole-plant corn silage and rumen fermentation remains limited. The purpose of this study was to assess the effect of 2 class IIa bacteriocin-producing strains Lactiplantibacillus plantarum ATCC14917 and CICC24194 on bacterial community composition and ensiling profiles of whole-plant corn silage and its in vitro rumen fermentation, microbiota, and CH4 emissions. RESULTS: Both bacteriocin-producing strains increased the lactic acid concentration in silage fermented for 7 d, whereas the lowest lactic acid was observed in the ATCC14917 inoculated silage fermented for 90 d (P < 0.05). The highest DM content was observed in the CICC24194 treatment (P < 0.05), and the silages treated with both strains had the lowest DM loss (P < 0.05). Bacteriocin-producing strains promoted the growth of Levilactobacillus brevis on d 60 of ensiling. In addition, treatment with bacteriocin-producing strains increased the in vitro DM digestibility (P < 0.05) and decreased the CH4 production (P < 0.05). The results of random forest and clustering analyses at the genus level showed that ATCC14917 increased the relative abundance of the influential variable Bacillus compared to that in the control group, whereas CICC24194 decreased the relative abundance of the influential variable Ruminococcaceae UCG-005. The CICC24194 treatment had the lowest total bacterial, fungal, protozoan, and methanogen populations (P < 0.05). CONCLUSIONS: Both class IIa bacteriocin-producing L. plantarum strains improved the fermentation quality of whole-plant corn silage by regulating the bacterial community composition during ensiling, with CICC24194 being the most effective. Both bacteriocin-producing strains mitigated CH4 production and improved digestibility by modulating the interactions among rumen bacteria, protozoa, methanogens, and the composition of fibrolytic bacteria.

6.
Clin Respir J ; 18(8): e13817, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39118303

RESUMO

Lung squamous cell carcinoma (LUSC) is characterized by a high rate of metastasis and recurrence, leading to a poor prognosis for affected patients. Intestinal metastasis of LUSC is a rare clinical occurrence. Treatment options for LUSC patients with intestinal metastasis are limited, and no standard therapy guidelines exist for managing these cases. In this review, we discuss the clinical features, diagnosis, and treatment of LUSC patients with intestinal metastasis and present a rare case of LUSC with intestinal metastasis. We describe a patient who presented with a severe cough and chest pain and diagnosed with LUSC and bone tumor. Initially, the primary LUSC and bone tumor were controlled with standard treatments. However, the primary LUSC reoccurred shortly after treatment, this time with intestinal metastasis, for which effective treatments are lacking. Our observation from the case suggests that LUSC metastasizing to intestinal tract is associated with a poorer prognosis.


Assuntos
Carcinoma de Células Escamosas , Neoplasias Pulmonares , Humanos , Neoplasias Pulmonares/secundário , Neoplasias Pulmonares/patologia , Carcinoma de Células Escamosas/secundário , Carcinoma de Células Escamosas/patologia , Masculino , Neoplasias Intestinais/secundário , Neoplasias Intestinais/patologia , Prognóstico , Tomografia Computadorizada por Raios X/métodos , Pessoa de Meia-Idade , Evolução Fatal , Idoso , Neoplasias Ósseas/secundário
7.
Medicine (Baltimore) ; 103(32): e39239, 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39121259

RESUMO

This study aimed to investigate the association between glucocorticoid administration and outcomes in critically ill patients with ARDS using the Medical Information Mart for Intensive Care (MIMIC)-III database. Data were collected from the MIMIC-III database, which consists of critically ill participants between 2001 and 2012 in the USA. A total of 1831 adult critically ill patients with ARDS were enrolled from the MIMIC-III database. The 60-day and in-hospital mortality, were the primary endpoints. Secondary outcomes included length of stay (LOS) in the hospital and intensive care unit (ICU), 28-day ventilator-free days, ICU mortality, and 28-day mortality. A total of 1831 patients were included in the data analysis. After propensity score (PS) matching, 464 patients diagnosed with ARDS were matched between the glucocorticoid treatment and control groups. Glucocorticoids were associated with increased in-hospital mortality [hazard ratio (HR) 1.32; 95% CI 1.01-1.71; P = .039], longer ICU stay [HR 2.25; 95% CI 0.84-3.65; P = .002], and shorter ventilation-free days at 28 days in all ARDS patients [HR -2.70; 95% CI -4.28--1.13; P = .001]. The 60-day mortality was higher in the glucocorticoid group (44.83% vs 35.34%; P = .154; HR 1.24; 95% CI 0.93-1.66). Excluding the impact of the glucocorticoid initiation time, from day 15 to day 60, mortality was significantly higher in the glucocorticoid group compared to the non-glucocorticoid group (27.16% vs 12.70%; P < .001; HR 1.75; 95% CI 1.32-2.32). Glucocorticoid administration was associated with worse 60-day and in-hospital survival, longer ICU stay, and shorter ventilator-free days on day 28 in patients with ARDS. Our findings suggest careful consideration of glucocorticoids for ARDS.


Assuntos
Glucocorticoides , Mortalidade Hospitalar , Unidades de Terapia Intensiva , Tempo de Internação , Pontuação de Propensão , Síndrome do Desconforto Respiratório , Humanos , Glucocorticoides/administração & dosagem , Glucocorticoides/uso terapêutico , Masculino , Feminino , Síndrome do Desconforto Respiratório/mortalidade , Síndrome do Desconforto Respiratório/tratamento farmacológico , Pessoa de Meia-Idade , Tempo de Internação/estatística & dados numéricos , Unidades de Terapia Intensiva/estatística & dados numéricos , Idoso , Bases de Dados Factuais , Estado Terminal/mortalidade , Adulto , Respiração Artificial/estatística & dados numéricos , Estados Unidos/epidemiologia
8.
Ecol Evol ; 14(8): e11527, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39119175

RESUMO

Mites are among the most abundant invertebrates in subsurface ecosystems, and their community assemblages and distributions are often significantly influenced by the diversity of habitat resources. The cave ecosystem encompasses drastic changes in nonbiological factors, such as changes in lighting conditions from bright to extraordinarily dark and habitat gradients of surface plant resources from abundant to scarce or even disappearing, providing an ideal unique environment for evaluating the assembly mechanism of soil animal communities. Nevertheless, there still needs to be a sufficient understanding of the biodiversity patterns and drivers of mite communities across environmental gradients in karst caves. We conducted a comprehensive survey on the composition and diversity of soil mites in three photometric zones (dark, twilight, and light) of a typical karst cave and its adjoining extractive environments (forest scrub and farmland). Our research aimed to investigate the ecological relationships of mite communities between above- and below-ground habitats and the effects of abiotic factors on mite communities. We collected 49 families, 86 genera, and 1284 mites. In the external cave environment, we captured 1052 mites from 72 genera and 45 families; in the internal cave environment, we captured 232 mites from 46 genera and 29 families. The abundance, richness of genera, and diversity parameters of the mite community decreased from the cave entrance to the cave interior with decreasing light intensity. Oribatid mites dominated the mite community. Protoribates and Scheloribates were the dominant genera, along with Tectocepheus and 11 other genera, which primarily distinguished the mite communities among different habitats. Forty endemic taxa were found in the external cave environment, compared to 14 endemic taxa in the internal cave environment. The mite community showed a strong preference for the cave ecosystem habitat. Temperature, humidity, and soil nitrogen content significantly influenced the distribution pattern of mite communities (VIP > 0.8, p < 0.05).

9.
Org Lett ; 26(33): 7049-7054, 2024 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-39119922

RESUMO

Herein, we report a photoredox/copper dual-catalyzed selective phosphorothiolation of propargylic derivatives from easily accessible [P(O)SH] compounds. This reaction provides a general, mild and versatile procedure to synthesize a variety of synthetically useful S-alkyl, S-vinyl and S-allenyl phosphorothioates selectively from the same set of simple starting materials.

10.
Plants (Basel) ; 13(16)2024 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-39204665

RESUMO

Pinus massoniana L. is one of the most important conifer species in southern China and is the mainstay of the forest ecosystem and timber production, yet low temperatures limit its growth and geographical distribution. This study used 30-day-old seedlings from families of varying cold-tolerance to examine the morphological traits of needles and stems, chlorophyll fluorescence characteristics, protective enzymes, and changes in starch and lignin under different low-temperature stresses in an artificial climate chamber. The results showed that the seedlings of Pinus massoniana exhibited changes in phenotypic morphology and tissue structure under low-temperature stress. Physiological and biochemical indexes such as protective enzymes, osmoregulatory substances, starch, and lignin responded to low-temperature stress. The cold-tolerant family increased soluble sugars, starch grain, and lignin content as well as peroxidase activity, and decreased malondialdehyde content by increasing the levels of actual photochemical efficiency (ΦPSII), electron transport rate (ETR), and photochemical quenching (qP) to improve the cold tolerance ability. This study provides a reference for the selection and breeding of cold-tolerant genetic resources of Pinus massoniana and the mechanism of cold-tolerance, as well as the analysis of the mechanism of adaptation of Pinus massoniana in different climatic regions of China.

12.
J Cosmet Dermatol ; 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39166480

RESUMO

OBJECTIVE: Tumor necrosis factor-like weak inducer of apoptosis (TWEAK), a member of tumor necrosis factor superfamily, can bind to fibroblast growth factor-inducible 14 (Fn14) receptor and stimulate angiogenesis. The interaction between epidermal growth factor receptor (EGFR) and endothelial growth factor (EGF) leads to EGFR signal transduction and promotes angiogenesis. The objective of this study was to explore whether TWEAK participated in the diabetic skin wound healing by regulating Fn14/EGFR signaling. METHODS: Human umbilical vein endothelial cells (HUVECs) were treated with 35 mmol/L d-glucose and classified into the Control Group, High Glucose (HG) Group and HG + TWEAK Group. Then, the TWEAK expression and the proliferation, migration and tubule formation of HUVECs were detected, respectively. In vivo experiment, the diabetic model was established by injecting streptozotocin (STZ, 50 mg/kg) into male BALB/c mice. On the back of successfully modeled diabetic mice, a full-thickness skin wound of 6 mm diameter was formed. Then, the mice were randomly assigned into three groups: Blank Group, Phosphate Buffer Saline (PBS) Group, and TWEAK Group. Subsequently, expression levels of TWEAK, Fn14, EGFR and vascular endothelial growth factor (VEGF)-A were measured, and the CD31 expression in the wounded skin tissue of mice was checked by immunohistochemistry staining. RESULTS: The expression level of TWEAK in HUVECs of HG Group decreased significantly, as well as the viability, migration, and tubule formation of cells. After over-expression of TWEAK, the cell viability, migration, and tubule formation abilities of HUVECs recovered remarkably. In vivo, the wound healing rate of diabetic mice was raised, the neovascularization was increased, and the CD31 expression in the wounded tissue was obviously upregulated after injection with recombinant TWEAK antibody. CONCLUSION: TWEAK stimulates angiogenesis and accelerates the wound healing of diabetic skin by regulating Fn14/EGFR signaling.

13.
Quant Imaging Med Surg ; 14(8): 5571-5590, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-39144020

RESUMO

Background: Low-dose computed tomography (LDCT) is a diagnostic imaging technique designed to minimize radiation exposure to the patient. However, this reduction in radiation may compromise computed tomography (CT) image quality, adversely impacting clinical diagnoses. Various advanced LDCT methods have emerged to mitigate this challenge, relying on well-matched LDCT and normal-dose CT (NDCT) image pairs for training. Nevertheless, these methods often face difficulties in distinguishing image details from nonuniformly distributed noise, limiting their denoising efficacy. Additionally, acquiring suitably paired datasets in the medical domain poses challenges, further constraining their applicability. Hence, the objective of this study was to develop an innovative denoising framework for LDCT images employing unpaired data. Methods: In this paper, we propose a LDCT denoising network (DNCNN) that alleviates the need for aligning LDCT and NDCT images. Our approach employs generative adversarial networks (GANs) to learn and model the noise present in LDCT images, establishing a mapping from the pseudo-LDCT to the actual NDCT domain without the need for paired CT images. Results: Within the domain of weakly supervised methods, our proposed model exhibited superior objective metrics on the simulated dataset when compared to CycleGAN and selective kernel-based cycle-consistent GAN (SKFCycleGAN): the peak signal-to-noise ratio (PSNR) was 43.9441, the structural similarity index measure (SSIM) was 0.9660, and the visual information fidelity (VIF) was 0.7707. In the clinical dataset, we conducted a visual effect analysis by observing various tissues through different observation windows. Our proposed method achieved a no-reference structural sharpness (NRSS) value of 0.6171, which was closest to that of the NDCT images (NRSS =0.6049), demonstrating its superiority over other denoising techniques in preserving details, maintaining structural integrity, and enhancing edge contrast. Conclusions: Through extensive experiments on both simulated and clinical datasets, we demonstrated the superior efficacy of our proposed method in terms of denoising quality and quantity. Our method exhibits superiority over both supervised techniques, including block-matching and 3D filtering (BM3D), residual encoder-decoder convolutional neural network (RED-CNN), and Wasserstein generative adversarial network-VGG (WGAN-VGG), and over weakly supervised approaches, including CycleGAN and SKFCycleGAN.

14.
Front Immunol ; 15: 1436653, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39211037

RESUMO

Introduction: Mesenchymal stromal cells (MSCs) have been extensively studied as a potential treatment for steroid refractory acute graft-versus-host disease (aGVHD). However, the majority of clinical trials have focused on bone marrow-derived MSCs. Methods: In this study, we report the outcomes of 86 patients with grade III-IV (82.6% grade IV) steroid refractory aGVHD who were treated with human umbilical cord-derived mesenchymal stromal cells (UC-MSCs). The patient cohort included 17 children and 69 adults. All patients received intravenous infusions of UC-MSCs at a dose of 1 × 106 cells per kg body weight, with a median of 4 infusions (ranging from 1 to 16). Results: The median time between the onset of aGVHD and the first infusion of UC-MSCs was 7 days (ranging from 3 to 88 days). At day 28, the overall response (OR) rate was 52.3%. Specifically, 24 patients (27.9%) achieved complete remission, while 21 (24.4%) exhibited partial remission. The estimated survival probability at 100 days was 43.7%. Following a median follow-up of 108 months (ranging from 61 to 159 months), the survival rate was approximately 11.6% (10/86). Patients who developed acute lower GI tract and liver GVHD exhibited poorer OR rates at day 28 compared to those with only acute lower GI tract GVHD (22.2% vs. 58.8%; p= 0.049). No patient experienced serious adverse events. Discussion: These finding suggest that UC-MSCs are safe and effective in both children and adults with steroid refractory aGVHD. UC-MSCs could be considered as a feasible treatment option for this challenging conditon. (NCT01754454).


Assuntos
Doença Enxerto-Hospedeiro , Transplante de Células-Tronco Mesenquimais , Células-Tronco Mesenquimais , Cordão Umbilical , Humanos , Doença Enxerto-Hospedeiro/terapia , Doença Enxerto-Hospedeiro/etiologia , Transplante de Células-Tronco Mesenquimais/métodos , Masculino , Feminino , Criança , Adulto , Adolescente , Pré-Escolar , Pessoa de Meia-Idade , Seguimentos , Cordão Umbilical/citologia , Adulto Jovem , Esteroides/uso terapêutico , Resultado do Tratamento , Lactente , Doença Aguda
15.
Dig Liver Dis ; 2024 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-39155203

RESUMO

AIMS: This study aimed to evaluate the diagnostic performance of metagenomic next-generation sequencing (mNGS) with pancreatic fluid aspiration for the detection of infected pancreatic necrosis (IPN). METHODS: This retrospective observational study included 66 patients with suspected IPN. The participants simultaneously underwent pancreatic fluid aspiration mNGS, and microbial and blood culture. We compared the diagnostic performance of mNGS with that of culture in the detection of pathogens associated with IPN. RESULTS: Of the 66 patients, 45 (68.2 %) were confirmed to have IPN. Pancreatic fluid aspiration mNGS yielded positive results in 32 of these patients (71.1 %), significantly outperforming microbial culture results (25 patients, 55.6 %; P = 0.039); however, both methods exhibited similar specificity (95.2% vs. 100 %). The results of pancreatic fluid aspiration mNGS and microbial culture matched in 73.3 % (33/45) of patients with IPN. The turnaround time for the mNGS results was significantly shorter than that for the microbial culture method (P < 0.001). In addition, survival analysis demonstrated that a positive mNGS result was not associated with increased mortality (hazard ratio, 0.652; 95 % confidence interval 0.157-2.699, P = 0.555). CONCLUSIONS: Our study highlights the potential of mNGS for diagnosing IPN, with implications for improving patient care by facilitating early and accurate diagnosis, guiding appropriate interventions, and possibly improving patient outcomes.

16.
World J Psychiatry ; 14(6): 857-865, 2024 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-38984345

RESUMO

BACKGROUND: The diagnosis and treatment of depression in patients with chronic heart failure (CHF) is challenging, with no ideal treatment at present. AIM: To analyze the clinical intervention effect of Xuefu Zhuyu decoction (XFZYD) on CHF complicated with depression. METHODS: The study cohort comprised 116 patients with CHF complicated with depression who received treatment from July 2020 to July 2023, of which 55 received Western medicine (control group) and 61 received XFZYD (research group). Data on clinical effectiveness, traditional Chinese medicine (TCM) syndrome score, cardiac function, negative emotions, and serum inflammatory factors, were collected for comparative analyses. RESULTS: Compared with the control group, the research group had an evidently higher total effective rate. Furthermore, there were marked reductions in TCM symptom score, left ventricular end-diastolic diameter, left ventricular end-systolic diameter, Self-Rating Depression Scale, Hamilton Depression Scale, high-sensitivity C-reactive protein, monocyte chemoattractant protein-1, and matrix metalloproteinase-9 in the research group after treatment, and these were lower than the corresponding values in the control group. Left ventricular ejection fraction was increased and higher in the research group compared with the control group after treatment. CONCLUSION: Our findings conclusively proved that XFZYD was considerably superior to Western medicine for treating CHF complicated with depression because it significantly alleviated patients' symptoms, improved cardiac function, relieved negative emotions, and reduced the levels of serum inflammatory factors.

17.
Phys Rev Lett ; 132(24): 240801, 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38949366

RESUMO

Quantum networks promise unprecedented advantages in information processing and open up intriguing new opportunities in fundamental research, where network topology and network nonlocality fundamentally underlie these applications. Hence, the detections of network topology and nonlocality are crucial, which, however, remain an open problem. Here, we conceive and experimentally demonstrate to determine the network topology and network nonlocality hosted by a triangle quantum network comprising three parties, within and beyond Bell theorem, with a general witness operator for the first time. We anticipate that this unique approach may stimulate further studies toward the efficient characterization of large complex quantum networks so as to better harness the advantage of quantum networks for quantum information applications.

18.
ACS Omega ; 9(26): 27932-27944, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38973852

RESUMO

Recent studies have identified butanone as a promising biomarker in the breath of lung cancer patients, yet the understanding of its gas-sensing properties remains limited. A key challenge has been to enhance the gas-sensing performance of materials toward butanone, particularly under ultraviolet light exposure. Herein, we report the synthesis of a novel three-dimensional composite material composed of SnO2 incorporated with Bi2O3 using facile hydrothermal and impregnation precipitation methods. Detailed physical and chemical characterizations were performed to assess the properties of the developed material. Upon activation with ultraviolet light, our composite exhibited exceptionally high sensitivity to butanone. Remarkably, the butanone response was nearly 3 times greater for the Bi2O3-loaded SnO2 composite than for pristine SnO2, achieving a response value of 70. This substantial improvement is due to the synergistic effect of the material's distinctive three-dimensional architecture and the presence of Bi2O3, which significantly augmented the gas-sensing capability of butanone. To elucidate the underlying gas-sensing mechanism, we conducted first-principles calculations using density functional theory (DFT). The computational analysis revealed that the Bi2O3-containing system possesses superior adsorption energy for butanone. Ultimately, our findings suggest that the Bi-SnO2 composite holds great promise as an optimal sensing material for the detection of butanone under ultraviolet illumination.

19.
Sci Rep ; 14(1): 15620, 2024 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-38972880

RESUMO

Hydraulic systems play a pivotal and extensive role in mechanics and energy. However, the performance of intelligent fault diagnosis models for multiple components is often hindered by the complexity, variability, strong hermeticity, intricate structures, and fault concealment in real-world conditions. This study proposes a new approach for hydraulic fault diagnosis that leverages 2D temporal modeling and attention mechanisms for decoupling compound faults and extracting features from multisample rate sensor data. Initially, to address the issue of oversampling in some high-frequency sensors within the dataset, variable frequency data sampling is employed during the data preprocessing stage to resample redundant data. Subsequently, two-dimensional convolution simultaneously captures both the instantaneous and long-term features of the sensor signals for the coupling signals of hydraulic system sensors. Lastly, to address the challenge of feature fusion with multisample rate sensor data, where direct merging of features through maximum or average pooling might dilute crucial information, a feature fusion and decoupling method based on a probabilistic sparse self-attention mechanism is designed, avoiding the issue of long-tail distribution in multisample rate sensor data. Experimental validation showed that the proposed model can effectively utilize samples to achieve accurate fault decoupling and classification for different components, achieving a diagnostic accuracy exceeding 97% and demonstrating robust performance in hydraulic system fault diagnosis under noise conditions.

20.
Nat Commun ; 15(1): 6151, 2024 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-39034324

RESUMO

α-Actinins play crucial roles in cytoskeletal mechanobiology by acting as force-bearing structural modules that orchestrate and sustain the cytoskeletal framework, serving as pivotal hubs for diverse mechanosensing proteins. The mechanical stability of α-actinin dimer, a determinant of its functional state, remains largely unexplored. Here, we directly quantify the force-dependent lifetimes of homo- and hetero-dimers of human α-actinins, revealing an ultra-high mechanical stability of the dimers associated with > 100 seconds lifetime within 40 pN forces under shear-stretching geometry. Intriguingly, we uncover that the strong dimer stability is arisen from much weaker sub-domain pair interactions, suggesting the existence of distinct dimerized functional states of the dimer, spanning a spectrum of mechanical stability, with the spectrin repeats (SRs) in folded or unfolded conformation. In essence, our study supports a potent mechanism for building strength in biomolecular dimers through weak, multiple sub-domain interactions, and illuminates multifaceted roles of α-actinin dimers in cytoskeletal mechanics and mechanotransduction.


Assuntos
Actinina , Multimerização Proteica , Humanos , Actinina/metabolismo , Actinina/química , Citoesqueleto/metabolismo , Mecanotransdução Celular , Domínios Proteicos , Imagem Individual de Molécula/métodos
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