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1.
Sci Rep ; 14(1): 15649, 2024 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-38977748

RESUMO

In order to enhance the hyperspectral camouflage efficacy of stealth coatings against a natural vegetative backdrop, LiCl, known for its significant hygroscopic properties, was incorporated into green Mg-Al layered double hydroxide (Mg-Al LDHs) material. Micron-sized composite microspheres were subsequently synthesized via the spray-drying granulation technique. The structure, morphology, and chemical composition of these microspheres were thoroughly characterized by X-ray diffraction, scanning electron microscopy, laser particle size analysis, nitrogen adsorption-desorption isotherms, and Fourier-transform infrared spectroscopy. The effect of LiCl content on the moisture absorption capacity and near-infrared reflectance spectra of the microspheres was systematically evaluated. We found that incorporating an optimal amount of LiCl into the internal pores of the Mg-Al LDHs microspheres did not compromise their smooth surface morphology and uniform particulate distribution. Notably, when the LiCl content was 10%, the maximum saturation moisture uptake ratio of the coating increased to 0.75 g/g. This hygroscopicity significantly enhanced the absorption and scattering of near-infrared radiation by the coating while concurrently improving its ability to modulate the shape and reflectance of both the visible and near-infrared spectral curves. Spectral congruence between the synthetic coating and natural green foliage was quantified at 97.41%. Moreover, this performance was maintained over 10 cycles of programmed drying and re-humidification, and the coating consistently demonstrated stable hygroscopic properties and sustained over 95% spectral congruence. These optimized artificial coatings were found to effectively confuse hyperspectral classification algorithms, thus blending seamlessly into a natural foliage backdrop. This study provides a new method for regulating VIS and NIR spectral (visible-near infrared spectrum) features, which will be critical for applications in advanced hyperspectral camouflage materials.

3.
Pak J Med Sci ; 40(5): 1042-1045, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38827870

RESUMO

Anti-neutrophil cytoplasmic antibodies (ANCA)-associated systemic vasculitis (AASV) is a rare systemic immunological condition that predominantly impacts small arteries, veins, and capillaries, often leading to kidney damage and pulmonary injury. It is important to note that individuals primarily presenting with peripheral neuropathy (PN) are uncommon in AASV, which can result in significant misdiagnosis or undiagnosed cases. The severity and location of PN can vary among patients. In this article, we present a case of an AASV patient initially showing signs of PN. This case highlights the significance of considering AASV as a potential cause of unexplained neurological symptoms. Timely identification and proper treatment are essential for improving the survival rate and functional prognosis of AASV patients.

4.
Methods ; 228: 12-21, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38759908

RESUMO

Annotating cell types of single-cell RNA sequencing (scRNA-seq) data is crucial for studying cellular heterogeneity in the tumor microenvironment. Recently, large-scale pre-trained language models (PLMs) have achieved significant progress in cell-type annotation of scRNA-seq data. This approach effectively addresses previous methods' shortcomings in performance and generalization. However, fine-tuning PLMs for different downstream tasks demands considerable computational resources, rendering it impractical. Hence, a new research branch introduces parameter-efficient fine-tuning (PEFT). This involves optimizing a few parameters while leaving the majority unchanged, leading to substantial reductions in computational expenses. Here, we utilize scBERT, a large-scale pre-trained model, to explore the capabilities of three PEFT methods in scRNA-seq cell type annotation. Extensive benchmark studies across several datasets demonstrate the superior applicability of PEFT methods. Furthermore, downstream analysis using models obtained through PEFT showcases their utility in novel cell type discovery and model interpretability for potential marker genes. Our findings underscore the considerable potential of PEFT in PLM-based cell type annotation, presenting novel perspectives for the analysis of scRNA-seq data.


Assuntos
RNA-Seq , Análise de Célula Única , Análise de Célula Única/métodos , Humanos , RNA-Seq/métodos , Análise de Sequência de RNA/métodos , Biologia Computacional/métodos , Algoritmos , Anotação de Sequência Molecular/métodos , Software , Microambiente Tumoral/genética , Análise da Expressão Gênica de Célula Única
5.
Commun Med (Lond) ; 4(1): 59, 2024 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-38548835

RESUMO

BACKGROUND: Discovering potential drug-drug interactions (DDIs) is a long-standing challenge in clinical treatments and drug developments. Recently, deep learning techniques have been developed for DDI prediction. However, they generally require a huge number of samples, while known DDIs are rare. METHODS: In this work, we present KnowDDI, a graph neural network-based method that addresses the above challenge. KnowDDI enhances drug representations by adaptively leveraging rich neighborhood information from large biomedical knowledge graphs. Then, it learns a knowledge subgraph for each drug-pair to interpret the predicted DDI, where each of the edges is associated with a connection strength indicating the importance of a known DDI or resembling strength between a drug-pair whose connection is unknown. Thus, the lack of DDIs is implicitly compensated by the enriched drug representations and propagated drug similarities. RESULTS: Here we show the evaluation results of KnowDDI on two benchmark DDI datasets. Results show that KnowDDI obtains the state-of-the-art prediction performance with better interpretability. We also find that KnowDDI suffers less than existing works given a sparser knowledge graph. This indicates that the propagated drug similarities play a more important role in compensating for the lack of DDIs when the drug representations are less enriched. CONCLUSIONS: KnowDDI nicely combines the efficiency of deep learning techniques and the rich prior knowledge in biomedical knowledge graphs. As an original open-source tool, KnowDDI can help detect possible interactions in a broad range of relevant interaction prediction tasks, such as protein-protein interactions, drug-target interactions and disease-gene interactions, eventually promoting the development of biomedicine and healthcare.


Understanding how drugs interact is crucial for safe healthcare and the development of new medicines. We developed a computational tool that can analyze the data about medicines within large medical databases and predict the impact of being treated by multiple drugs at the same time on the person taking the drugs. Our tool, named KnowDDI, can predict which drugs interact with each other and also provide an explanation for why the interaction is likely to take place. We demonstrated that our tool can identify known drug interactions. It could potentially be used in the future to identify previously unknown or unanticipated interactions that could have negative consequences to people being treated with unusual combinations of medicines.

6.
Nat Commun ; 15(1): 2189, 2024 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-38467605

RESUMO

Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease. To identify additional genetic factors, we analyzed exome sequences in a large cohort of Chinese ALS patients and found a homozygous variant (p.L700P) in PCDHA9 in three unrelated patients. We generated Pcdhα9 mutant mice harboring either orthologous point mutation or deletion mutation. These mice develop progressive spinal motor loss, muscle atrophy, and structural/functional abnormalities of the neuromuscular junction, leading to paralysis and early lethality. TDP-43 pathology is detected in the spinal motor neurons of aged mutant mice. Mechanistically, we demonstrate that Pcdha9 mutation causes aberrant activation of FAK and PYK2 in aging spinal cord, and dramatically reduced NKA-α1 expression in motor neurons. Our single nucleus multi-omics analysis reveals disturbed signaling involved in cell adhesion, ion transport, synapse organization, and neuronal survival in aged mutant mice. Together, our results present PCDHA9 as a potential ALS gene and provide insights into its pathogenesis.


Assuntos
Esclerose Lateral Amiotrófica , Doenças Neurodegenerativas , Humanos , Camundongos , Animais , Idoso , Esclerose Lateral Amiotrófica/metabolismo , Doenças Neurodegenerativas/metabolismo , Camundongos Transgênicos , Neurônios Motores/metabolismo , Medula Espinal/metabolismo
7.
iScience ; 27(3): 109180, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38439956

RESUMO

Mutations of TRAPPC12 are associated with progressive childhood encephalopathy including abnormal white matter. However, the underlying pathogenesis is still unclear. Here, we found that Trappc12 deficiency in CG4 and oligodendrocyte progenitor cells (OPCs) affects their differentiation and maturation. In addition, TRAPPC12 interacts with Mea6/cTAGE5, and Mea6/cTAGE5 ablation in OPCs affects their proliferation and differentiation, leading to marked hypomyelination, compromised synaptic functionality, and aberrant behaviors in mice. We reveal that TRAPPC12 is associated with COPII components at ER exit site, and Mea6/cTAGE5 cKO disrupts the trafficking pathway by affecting the distribution and/or expression of TRAPPC12, SEC13, SEC31A, and SAR1. Moreover, we observed marked disturbances in the secretion of pleiotrophin (PTN) in Mea6-deficient OPCs. Notably, exogenous PTN supplementation ameliorated the differentiation deficits of these OPCs. Collectively, our findings indicate that the association between TRAPPC12 and MEA6 is important for cargo trafficking and white matter development.

8.
IEEE Trans Pattern Anal Mach Intell ; 46(8): 5413-5429, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38381636

RESUMO

Molecular property prediction plays a fundamental role in AI-aided drug discovery to identify candidate molecules, which is also essentially a few-shot problem due to lack of labeled data. In this paper, we propose Property-Aware Relation networks (PAR) to handle this problem. We first introduce a property-aware molecular encoder to transform the generic molecular embeddings to property-aware ones. Then, we design a query-dependent relation graph learning module to estimate molecular relation graph and refine molecular embeddings w.r.t. the target property. Thus, the facts that both property-related information and relationships among molecules change across different properties are utilized to better learn and propagate molecular embeddings. Generally, PAR can be regarded as a combination of metric-based and optimization-based few-shot learning method. We further extend PAR to Transferable PAR (T-PAR) to handle the distribution shift, which is common in drug discovery. The keys are joint sampling and relation graph learning schemes, which simultaneously learn molecular embeddings from both source and target domains. Extensive results on benchmark datasets show that PAR and T-PAR consistently outperform existing methods on few-shot and transferable few-shot molecular property prediction tasks, respectively. Besides, ablation and case studies are conducted to validate the rationality of our designs in PAR and T-PAR.

9.
J Alzheimers Dis Rep ; 8(1): 75-83, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38312531

RESUMO

Background: Observational studies have indicated the association of alteration of adipokines with Alzheimer's disease (AD). However, it remains unclear whether the associations are causal. Objective: To determine the causal associations between adipokines and AD. Methods: A Mendelian randomization (MR) method was applied to investigate the causal relationships of adipokines, including adiponectin and resistin, with risk of AD. Genetic proxies from genome-wide association studies (GWAS) of adiponectin and resistin were selected as instrumental variables. GWAS summary statistics for AD were extracted as outcome. Results: In this study, we found evidence of the causal effects of adiponectin on AD (OR: 0.850, 95% CI: 0.731-0.990, p = 0.037). However, no relationship between resistin and AD (OR: 0.936, 95% CI: 0.851-1.029, p = 0.171) was detected. In the reverse causation analysis, null associations of AD were found for adiponectin and resistin (all p > 0.05). Conclusions: This study provides evidence of causality between adiponectin and risk of AD. However, no genetic susceptibility of resistin was discovered for AD.

10.
IEEE Trans Cybern ; 54(4): 2483-2494, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37099469

RESUMO

The relational triplet is a format to represent relational facts in the real world, which consists of two entities and a semantic relation between these two entities. Since the relational triplet is the essential component in a knowledge graph (KG), extracting relational triplets from unstructured texts is vital for KG construction and has attached increasing research interest in recent years. In this work, we find that relation correlation is common in real life and could be beneficial for the relational triplet extraction task. However, existing relational triplet extraction works neglect to explore the relation correlation that bottlenecks the model performance. Therefore, to better explore and take advantage of the correlation among semantic relations, we innovatively utilize a three-dimension word relation tensor to describe relations between words in a sentence. Then, we treat the relation extraction task as a tensor learning problem and propose an end-to-end tensor learning model based on Tucker decomposition. Compared with directly capturing correlation among relations in a sentence, learning the correlation of elements in a three-dimension word relation tensor is more feasible and could be addressed through tensor learning methods. To verify the effectiveness of the proposed model, extensive experiments are also conducted on two widely used benchmark datasets, that is, NYT and WebNLG. Results show that our model outperforms the state-of-the-art by a large margin of F1 scores, such as the developed model has an improvement of 3.2% on the NYT dataset compared to the state-of-the-art. Source codes and data can be found at https://github.com/Sirius11311/TLRel.git.

11.
Adv Healthc Mater ; : e2302686, 2023 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-38134345

RESUMO

Organoids have emerged as major technological breakthroughs and novel organ models that have revolutionized biomedical research by recapitulating the key structural and functional complexities of their in vivo counterparts. The combination of organoid systems and microfluidic technologies has opened new frontiers in organoid engineering and offers great opportunities to address the current challenges of existing organoid systems and broaden their biomedical applications. In this review, the key features of the existing organoids, including their origins, development, design principles, and limitations, are described. Then the recent progress in integrating organoids into microfluidic systems is highlighted, involving microarrays for high-throughput organoid manipulation, microreactors for organoid hydrogel scaffold fabrication, and microfluidic chips for functional organoid culture. The opportunities in the nascent combination of organoids and microfluidics that lie ahead to accelerate research in organ development, disease studies, drug screening, and regenerative medicine are also discussed. Finally, the challenges and future perspectives in the development of advanced microfluidic platforms and modified technologies for building organoids with higher fidelity and standardization are envisioned.

12.
Nat Commun ; 14(1): 7918, 2023 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-38097571

RESUMO

The combination of genome editing and primordial germ cell (PGC) transplantation has enormous significance in the study of developmental biology and genetic breeding, despite its low efficiency due to limited number of donor PGCs. Here, we employ a combination of germplasm factors to convert blastoderm cells into induced PGCs (iPGCs) in zebrafish and obtain functional gametes either through iPGC transplantation or via the single blastomere overexpression of germplasm factors. Zebrafish-derived germplasm factors convert blastula cells of Gobiocypris rarus into iPGCs, and Gobiocypris rarus spermatozoa can be produced by iPGC-transplanted zebrafish. Moreover, the combination of genome knock-in and iPGC transplantation perfectly resolves the contradiction between high knock-in efficiency and early lethality during embryonic stages and greatly improves the efficiency of genome knock-in. Together, we present an efficient method for generating PGCs in a teleost, a technique that will have a strong impact in basic research and aquaculture.


Assuntos
Blastômeros , Peixe-Zebra , Masculino , Animais , Peixe-Zebra/genética , Blástula , Células Germinativas
14.
Artigo em Inglês | MEDLINE | ID: mdl-37987795

RESUMO

This meta-analysis aimed to comprehensively evaluate the efficacy and safety of pentoxifylline (PTF) in the treatment of diabetic nephropathy (DN) and to offer fresh perspectives and evidence-based references for this condition. Meta-analysis. Relevant randomized controlled trials (RCTs) were searched from PubMed, Embase, Cochrane Library, China Knowledge Network (CNKI), Wanfang, and China Biomedical Literature Database. All trials were screened for compliance with the inclusion and exclusion criteria, and relevant data were extracted after quality evaluation. Eighteen studies with a total of 1280 patients were finally included. Compared to the control group, high sensitivity C-reactive protein (hsCRP) was improved (MD = - 0.23. 95% CI = [- 0.41, - 0.05], P = 0.01); urinary albumin excretion (UAE) rate was reduced (MD = - 16.50, 95% CI = [- 18.87, - 14.13], P<0.00001); the change of serum creatinine (Scr) from baseline was reduced (MD = - 0.05, 95%CI = [- 0.08, - 0.01], P = 0.009); fasting plasma glucose (FPG) was decreased (MD = - 5.66, 95% CI = [- 9.79, - 1.53], P = 0.007); and the improvement of glomerular filtration rate (eGFR) from baseline was increased (MD = 4.38, 95% CI = [3.28, 5.48], P<0.00001) in the treatment group. No significant difference was observed between the two groups concerning systolic blood pressure, diastolic blood pressure, total cholesterol, and triglycerides. And in terms of safety, the use of PTF was relatively safe with some self-limiting adverse events. FPG was decreased by PTF more effectively, but there was no effect of PTF on glycated hemoglobin (HbA1c). PTF could improve hsCRP, decrease UAE and Scr, and raise eGFR in the treatment of DN.

15.
Biotechnol Adv ; 69: 108271, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37844769

RESUMO

Stem cells are specialised cells characterised by their unique ability to both self-renew and transform into a wide array of specialised cell types. The widespread interest in stem cells for regenerative medicine and cultivated meat has led to a significant demand for these cells in both research and practical applications. Despite the growing need for stem cell manufacturing, the industry faces significant obstacles, including high costs for equipment and maintenance, complicated operation, and low product quality and yield. Microfluidic technology presents a promising solution to the abovementioned challenges. As an innovative approach for manipulating liquids and cells within microchannels, microfluidics offers a plethora of advantages at an industrial scale. These benefits encompass low setup costs, ease of operation and multiplexing, minimal energy consumption, and the added advantage of being labour-free. This review presents a thorough examination of the prominent microfluidic technologies employed in stem cell research and explores their promising applications in the burgeoning stem cell industry. It thoroughly examines how microfluidics can enhance cell harvesting from tissue samples, facilitate mixing and cryopreservation, streamline microcarrier production, and efficiently conduct cell separation, purification, washing, and final cell formulation post-culture.


Assuntos
Microfluídica , Medicina Regenerativa , Células-Tronco , Técnicas de Cultura de Células , Dispositivos Lab-On-A-Chip
16.
World Neurosurg ; 180: e183-e197, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37714458

RESUMO

BACKGROUND: Spinal cord injury (SCI) is a devastating condition, often leading to significant disability and impairment. As crucial immune cells, macrophages play a critical role in the pathophysiology of SCI. Understanding the current state of knowledge and research trends related to macrophages in SCI is crucial for developing effective therapeutic interventions. METHODS: Using search strategies, we retrieved relevant articles from the Web of Science Core Collection (WOSCC), resulting in a robust dataset for analysis. VOSviewer, Citespace, and PRISM were employed for analysis and visualization. Various bibliometric indicators, including publication trends, citation analysis, co-authorship networks, and keyword analysis, were utilized to assess the scholarly landscape of macrophage research in SCI. RESULTS: Our findings revealed a steady increase in publications over the past 33 years, indicating a growing interest in this field. We identified Popovich Phillip G was the most influential author, Ohio State University was the most influential institution, and identification of 2 distinct macrophage subsets with divergent effects causing either neurotoxicity or regeneration in the injured mouse spinal cord was the most influential paper in this field. CONCLUSIONS: This bibliometric analysis provides a comprehensive overview of the current knowledge landscape and research trends regarding macrophages in SCI. Neuroinflammation and macrophage polarization, transplation and molecular mechanism were emerging research areas and novel directions. Our study serves as a valuable resource for researchers in spinal cord injury research and therapeutic development.


Assuntos
Traumatismos da Medula Espinal , Animais , Camundongos , Humanos , Traumatismos da Medula Espinal/terapia , Autoria , Bibliometria , Instalações de Saúde , Macrófagos
17.
Chemosphere ; 343: 140306, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37769925

RESUMO

Addressing the issue of antibiotic residues in the environment is key to improving the quality of aquatic environments and reducing human health risks. In this study, piezoelectric bismuth titanate (Bi4Ti3O12) nanosheets are synthesized and employed to conduct antibiotic degradation. The piezoelectric potential induced by the water flow shear force is utilized to facilitate charge separation and migration in the photocatalytic process and enhance the catalytic degradation of antibiotic wastewater. As a result, 85% of tetracycline hydrochloride (TC) is degraded within 90 min. The piezo-photocatalytic process exhibits a 2.4 times faster reaction rate and a 15% higher mineralization rate than photocatalysis. Different environmental factors are investigated for their effects on the catalytic activity in piezo-photocatalysis. In situ electrochemical measurement and photoluminescence (PL) spectroscopy under stress demonstrated that the piezoelectric potential shifted the energy band of Bi4Ti3O12 and promoted the charge migration and separation, which produce more active species that favor the efficient catalytic degradation. Finally, the intermediate products of the tetracycline hydrochloride degradation process are analyzed and possible degradation pathways are suggested. This study elucidates the degradation mechanism of Bi4Ti3O12 as a piezo-photocatalyst for antibiotic pollutants, and meticulously investigates the charge transfer mechanism of the catalyst material in response to micro-stress. Hence, it provides an efficient solution for organic wastewater treatment and can potentially provide theoretical support for the development and performance optimization of catalyst materials applied in natural environments.

18.
J Drug Target ; 31(8): 858-866, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37607069

RESUMO

Renal fibrosis, characterised by glomerulosclerosis and tubulointerstitial fibrosis, is a typical pathological alteration in the progression of chronic kidney disease (CKD) to end-stage renal disease (ESRD). However, the limited and expensive options for treating renal fibrosis place a heavy financial burden on patients and healthcare systems. Therefore, it is significant to find an effective treatment for renal fibrosis. Ferroptosis, a non-traditional form of cell death, has been found to play an important role in acute kidney injury (AKI), tumours, neurodegenerative diseases, and so on. Moreover, a growing body of research suggests that ferroptosis might be a potential target of renal fibrosis. Meanwhile, mitophagy is a type of selective autophagy that can selectively degrade damaged or dysfunctional mitochondria as a form of mitochondrial quality control, reducing the production of reactive oxygen species (ROS), the accumulation of which is the main cause of renal fibrosis. Additionally, as a receptor of mitophagy, NIX can release beclin1 to induce mitophagy, which can also bind to solute carrier family 7 member 11 (SLC7A11) to block the activity of cystine/glutamate antitransporter (system Xc-) and inhibit ferroptosis, thereby suggesting a link between mitophagy and ferroptosis. However, there have been only limited studies on the relationship among mitophagy, ferroptosis and renal fibrosis. In this paper, we review the mechanisms of mitophagy, and describe how ferroptosis and mitophagy are related to renal fibrosis in an effort to identify potential novel targets for the treatment of renal fibrosis.


Assuntos
Injúria Renal Aguda , Ferroptose , Humanos , Mitofagia , Cistina , Mitocôndrias
19.
Mol Genet Genomic Med ; 11(11): e2243, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37489029

RESUMO

BACKGROUND: Epilepsy (EP) is a common neurological disease in which 70-80% are thought to have a genetic cause. In patients with epilepsy, neurodevelopmental delay (NDD) was prevalent. Next generation of sequencing has been widely used in diagnosing EP/NDD. However, the diagnostic yield remains to be 40%-50%. Many reanalysis pipelines and software have been developed for automated reanalysis and decision making for the diseases. Nevertheless, it is a highly challenging task for smaller genetic centers or a routine pediatric practice. To address the clinical and genetic "diagnostic odyssey," we organized a Multidisciplinary Molecular Consultation (MMC) team for molecular consultation for 202 children with EP/NDD patients referred by lower level hospitals. METHODS: All the patients had undergone an aligned and sequential consultations and discussions by a "triple reanalysis" procedure by clinical, genetic specialists, and researchers. RESULTS: Among the 202 cases for MMC, we totally identified 47 cases (23%) harboring causative variants in 24 genes and 15 chromosomal regions after the MMC. In the 15 cases with positive CNVs, 3 cases harbor the deletions or duplications in 16p11.2, and 2 cases for 1p36. The bioinformatical reanalysis revealed 47 positive cases, in which 12 (26%) were reported to be negative, VUS or incorrectly positive in pre-MMC reports. Additionally, among 87 cases with negative cases, 4 (5%) were reported to be positive in pre-MMC reports. CONCLUSION: We established a workflow allowing for a "one-stop" collaborative assessments by experts of multiple fields and helps for correct the diagnosis of cases with falsenegative and -positive and VUS genetic reports and may have significant influences for intervention, prevention and genetic counseling of pediatric epilepsy and neurodevelopmental disorders.


Assuntos
Epilepsia Generalizada , Epilepsia , Transtornos do Neurodesenvolvimento , Criança , Humanos , Testes Genéticos/métodos , Transtornos do Neurodesenvolvimento/diagnóstico , Transtornos do Neurodesenvolvimento/genética , Epilepsia Generalizada/genética , Epilepsia/diagnóstico , Epilepsia/genética , Encaminhamento e Consulta
20.
Cancer Nurs ; 2023 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-37430424

RESUMO

BACKGROUND: Cancer itself and surgery put a heavy burden on lung cancer patients, physiologically and psychologically. Enhancing self-efficacy during high-intensity interval training is essential for achieving the full benefit of pulmonary rehabilitation in lung cancer patients. OBJECTIVE: This study aimed to explore the effects of high-intensity interval training combined with team empowerment education on patients with lung resection. METHODS: This is a quasi-experimental trial with a pretest-posttest design. Participants were assigned to one of the 3 groups according to the order of admission: (1) combined intervention group, (2) intervention group, or (3) routine care group. The outcome measures included dyspnea, exercise capacity, exercise self-efficacy, anxiety, depression, postoperative indwelling time of thoracic drainage tube, and total in-hospital stay. RESULTS: Per-protocol results showed that dyspnea, exercise capacity, exercise self-efficacy, anxiety, and depression of the patients in the combined intervention group were significantly improved. However, no significant difference was observed in postoperative indwelling time of thoracic drainage tube or total in-hospital stay among the 3 groups. CONCLUSION: This hospital-based short-term high-intensity interval training combined with team empowerment education for lung cancer patients undergoing surgery was safe and feasible, indicating this program can be a promising strategy to manage perioperative symptoms. IMPLICATIONS FOR PRACTICE: This study provides evidence supporting preoperative high-intensity interval training as a promising method to make the best use of preoperative time, thus improving adverse symptoms in lung cancer patients undergoing surgery, and also provides a new strategy to raise exercise self-efficacy and promote patients' rehabilitation.

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