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1.
Microsyst Nanoeng ; 10(1): 130, 2024 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-39300103

RESUMO

The first-order antisymmetric (A1) mode lamb wave resonator (LWR) based on Z-cut LiNbO3 thin films has attracted significant attention and is widely believed to be a candidate for next-generation reconfigurable filters with high frequency and large bandwidth (BW). However, it is challenging for traditional interdigitated electrodes (IDTs) based LWR filters to meet the requirement of a clean frequency spectrum response and enough out-of-band (OoB) rejection. To solve the problem, we propose LWRs with checker-shaped IDTs for the design of filters that meet the Wi-Fi 6E standard. By taking advantage of checker-shaped IDTs with unparalleled boundaries, the fabricated 6-GHz resonators successfully suppress higher-order A1 spurious modes, demonstrating a spurious-free impedance response and a high figure-of-merit (FOM) up to 104. Based on the demonstrated checker-shaped electrode design, the filter features a center frequency (f0) of more than 6 GHz, a 3 dB BW exceeding 620 MHz, and an excellent OoB rejection >25 dB, consistent with the acoustic-electric-electromagnetic (EM) multi-physics simulations. Furthermore, through the capacitance-inductance matching network technology, the filter's voltage standing wave ratio (VSWR) is successfully reduced below 2, showing an excellent 50 Ω impedance matching. This study lays a foundation for ultra-high-frequency and ultra-wideband filters for the Wi-Fi 6/6E application.

2.
Materials (Basel) ; 17(17)2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-39274739

RESUMO

A bottleneck characterized by high strain and low hysteresis has constantly existed in the design process of piezoelectric actuators. In order to solve the problem that actuator materials cannot simultaneously exhibit large strain and low hysteresis under relatively high electric fields, Nb5+-doped 0.975(Ba0.85Ca0.15)[(Zr0.1Ti0.9)0.999Nb0.001]O3-0.025(Bi0.5Na0.5)ZrO3 (BCZTNb0.001-0.025BiNZ) ceramic thick films were prepared by a film scraping process combined with a solid-state twin crystal method, and the influence of sintering temperature was studied systematically. All BCZTNb0.001-0.025BiNZ ceramic thick films sintered at different sintering temperatures have a pure perovskite structure with multiphase coexistence, dense microstructure and typical dielectric relaxation behavior. The conduction mechanism of all samples at high temperatures is dominated by oxygen vacancies confirmed by linear fitting using the Arrhenius law. As the sintering temperature elevates, the grain size increases, inducing the improvement of dielectric, ferroelectric and field-induced strain performance. The 1325 °C sintered BCZTNb0.001-0.025BiNZ ceramic thick film has the lowest hysteresis (1.34%) and relatively large unipolar strain (0.104%) at 60 kV/cm, showing relatively large strain and nearly zero strain hysteresis compared with most previously reported lead-free piezoelectric ceramics and presenting favorable application prospects in the actuator field.

3.
Food Chem ; 463(Pt 2): 141236, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39293378

RESUMO

Pectin-chitosan hydrogels with blends of low (50-190 kDa) and medium (310-395 KDa) molecular weight (MW) chitosan (LC and MC, respectively) were developed, and their characteristics were investigated before and after the encapsulation of an aqueous strawberry extract. The pectin to total chitosan mass ratio, the composition of the strawberry extract and the MW of chitosan greatly affected the interactions between pectin and chitosan at different pH values. More specifically, blends of low and medium MW chitosan improved the stability of the strawberry-gels in acidic conditions compared to their corresponding MC-gels, showed better flow and texture profiles, as well as slower release of phenolic compounds during in vitro digestion compared to the only stable LC-gel. Therefore, by manipulating the length range of chitosan chains would allow the formation of pectin-chitosan hydrogels with improved properties for the development of functional food products.

4.
Adv Mater ; : e2412253, 2024 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-39295480

RESUMO

Persistent excessive inflammation caused by neutrophil and macrophage dysfunction in the wound bed leads to refractory response during wound healing. However, previous studies using cytokines or drugs often suffer from short half-lives and limited targeting, resulting in unsatisfactory therapeutic effects. Herein, the enucleated mesenchymal stem cell is engineered by aptamer bioorthogonal chemistry to modify the cell membrane and mRNA loading in the cell cytoplasm as a novel delivery vector (Cargocyte) with accurate targeting and sustained cytokine secretion. Cargocytes can successfully reduce NETosis by targeting the nuclear chromatin protein DEK protein with aptamers and sustaining interleukin (IL)-4 expression to overcome the challenges associated with the high cost and short half-life of IL-4 protein and significantly prevent the transition of macrophages into the M1 phenotype. Therapeutic effects have been demonstrated in murine and porcine wound models and have powerful potential to improve wound immune microenvironments effectively. Overall, the use of engineered enucleated mesenchymal stem cells as a delivery system may be a promising approach for wound healing.

6.
Nat Commun ; 15(1): 8048, 2024 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-39277619

RESUMO

White organic light-emitting diodes (WOLEDs) hold significant promise in illumination and displays, but achieving high efficiency while maintaining stability is an ongoing challenge. Here, we strategically combine a blue donor-acceptor thermally activated delayed fluorescence (TADF) emitter featuring rapid reverse intersystem crossing rate and a yellow multi-resonance TADF emitter renowned for the fast radiative transition process to achieve warm WOLEDs with exceptional power efficiency exceeding 190 lm W-1 and external quantum efficiency (EQE) of 39%, setting records for WOLEDs. Meanwhile, these devices also exhibit an extended operational lifetime (LT80) of 446 h at an initial luminance of 1000 cd m-2. Another group of blue and yellow emitters based on our strategy achieves a standard white emission and a high EQE of 35.6%, confirming the universality of our strategy. This work presents a versatile strategy to harmonize singlet exciton radiation and triplet exciton up-conversion, thus achieving a win-win situation of efficiency and stability.

7.
Biomed Pharmacother ; 179: 117334, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39180794

RESUMO

Dandelion (Taraxacum genus), a perennial herb belonging to the Asteraceae family is widely distributed in hillside grasslands, roadsides, fields, and river beaches in middle and low-altitude areas. It has a long history of traditional Chinese medicine usage as a heat-clearing and detoxifying agent, often consumed as tea or vegetable. Multiple pharmacological studies have demonstrated the antiviral, antibacterial, anti-inflammatory, immune-regulating, antioxidant, anti-tumor, and other effects of the Taraxacum genus. Bioactive compounds associated with these effects include triterpenes and their saponins, phenolic acids, sterols and their glycosides, flavonoids, organic acids, volatile oils, and saccharides.


Assuntos
Compostos Fitoquímicos , Taraxacum , Taraxacum/química , Compostos Fitoquímicos/farmacologia , Compostos Fitoquímicos/isolamento & purificação , Humanos , Animais , Extratos Vegetais/farmacologia , Extratos Vegetais/química
8.
Mar Pollut Bull ; 207: 116824, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39128233

RESUMO

The microorganism in rhizosphere systems has the potential to regulate the migration of arsenic (As) in coastal tidal flat wetlands. This study investigates the microbial community in the iron plaque and rhizosphere soils of Spartina alterniflora (S. alterniflora) and Suaeda salsa (S. salsa), as two common coastal tidal flat wetland plants in China, and determines the impact of the As and Fe redox bacteria on As mobility using field sampling and 16S rDNA high-throughput sequencing. The results indicated that As bound to crystalline Fe in the Fe plaque of S. salsa in high tidal flat. In the Fe plaque, there was a decrease in the presence of Fe redox bacteria, while the presence of As redox bacteria increased. Thus, the formation of Fe plaque proved advantageous in promoting the growth of As redox bacteria, thereby aiding in the mobility of As from rhizosphere soils to the Fe plaque. As content in the Fe plaque and rhizosphere soils of S. alterniflora was found to be higher than that of S. salsa. In the Fe plaque, As/Fe-reducing bacteria in S. alterniflora, and As/Fe-oxidizing bacteria in S. salsa significantly affected the distribution of As in rhizosphere systems. S. alterniflora has the potential to be utilized for wetland remediation purposes.


Assuntos
Arsênio , Chenopodiaceae , Ferro , Poaceae , Rizosfera , Microbiologia do Solo , Áreas Alagadas , Arsênio/análise , China , Chenopodiaceae/microbiologia , Poaceae/microbiologia , Bactérias , Solo/química , Poluentes Químicos da Água/análise
9.
ACS Appl Mater Interfaces ; 16(36): 47050-47074, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39207453

RESUMO

The escalating energy and environmental challenges have catalyzed a global shift toward seeking more sustainable, economical, and eco-friendly energy solutions. Water, capturing 35% of the Earth's solar energy, represents a vast reservoir of clean energy. However, current industrial capabilities harness only a fraction of the energy within the hydrological cycle. The past decade has seen rapid advancements in nanoscience and nanomaterials leading to a comprehensive exploration of liquid-solid triboelectrification as a low-carbon, efficient method for water energy harvesting. This review explores two fundamental principle models involved in liquid-solid triboelectrification. On the basis of these models, two distinct types of water energy harvesting devices, including droplet-based nanogenerators and water evaporation-induced nanogenerators, are summarized from their working principles, recent developments, materials, structures, and performance optimization techniques. Additionally, the applications of these nanogenerators in energy harvesting, self-powered sensing, and healthcare are also discussed. Ultimately, the challenges and future prospects of liquid-solid triboelectrification are further explored.

10.
Front Med (Lausanne) ; 11: 1391057, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39144664

RESUMO

Objective: This study aims to explore the relationship between cardiovascular calcification (CVC) and serum levels of high-density lipoprotein cholesterol (HDL-C) and its subfractions in hemodialysis (HD) patients. Methods: HD patients and healthy participants were recruited based on specific inclusion and exclusion criteria. Various blood indicators were measured, and demographic information was recorded. HDL-C particle levels were quantified using lipophilic fluorescent dye staining and capillary electrophoresis (microfluidic platform). Coronary artery calcium scores and valve calcification were used to classify HD patients into calcification and non-calcification groups. Results: Compared to healthy participants, HD patients showed a significant increase in HDL-C, high-density lipoprotein 2 cholesterol (HDL2-C), and high-density lipoprotein 3 cholesterol (HDL3-C) levels (p < 0.001). Further division of HD patients into calcification and non-calcification groups revealed higher serum HDL3-C concentrations (p = 0.002) and a higher HDL3-C/HDL-C ratio (p = 0.04) in the calcification group. Additionally, elevated HDL3-C levels were found to be an independent risk factor for CVC in HD patients (p = 0.040). The ROC curve analysis showed an AUC value of 0.706 for HDL3-C (p = 0.002). Conclusion: Our study indicates that elevated serum HDL3-C levels in HD patients are an independent risk factor for CVC and can serve as a potential predictor for CVC events. However, more studies need to verify its potential as a predictive indicator..

11.
Opt Lett ; 49(16): 4658-4661, 2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39146128

RESUMO

We propose and experimentally demonstrate a large-range and seamless rate-adaptive free-space optical (FSO) scheme based on rate compatible modulation (RCM). It utilizes a mapping method through weighted summation, enabling an even increase of bit energy. This allows the system to seamlessly adjust the throughput. In addition, the handover mechanism based on rate check and acknowledgment signals ensures a wide coverage of signal-to-noise ratio (SNR) fluctuation. It is worth noting that this scheme does not require any changes to the mapping matrix and decoding algorithm, making it easier to implement in real-world systems. Simulation proves the superiority of the proposed approach in terms of coding rate coverage by applying a fixed mapping matrix compared to a traditional adaptive modulation and coding scheme. Experimental demonstration over a 50 m FSO link verifies that the SNR dynamic range of this scheme is >15 dB with a seamless rate adjustment between 6.7 Gb/s and 53.6 Gb/s and the operability of RCM is not limited by the time scale of turbulence, revealing huge potential for the massive connections in future smart cities.

12.
BMC Gastroenterol ; 24(1): 274, 2024 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-39160462

RESUMO

BACKGROUND: Glycotoxicity and lipotoxicity are key pathophysiological mechanisms underlying the development of metabolic associated fatty liver disease (MAFLD). The primary objective of this study is to investigate the association between the newly proposed Plasma-Glycosylated Hemoglobin A1c/High-Density Lipoprotein Cholesterol Ratio (HbA1c/HDL-C ratio) and the risk of MAFLD. METHODS: A study population of 14,251 individuals undergoing health examinations was included. The association between the HbA1c/HDL-C ratio and MAFLD was analyzed using multivariable logistic regression and restricted cubic spline (RCS) analysis. Exploratory analyses were conducted to assess variations in this association across subgroups stratified by gender, age, body mass index (BMI), exercise habits, drinking status, and smoking status. The discriminatory value of the HbA1c/HDL-C ratio and its components for screening MAFLD was evaluated using receiver operating characteristic (ROC) curves. RESULTS: A total of 1,982 (13.91%) subjects were diagnosed with MAFLD. After adjusting for confounding factors, we found a significant positive association between the HbA1c/HDL-C ratio and MAFLD [odds ratio (OR) 1.34, 95% confidence interval (CI): 1.25, 1.44]. No significant differences in this association were observed across all subgroups (All P for interaction > 0.05). Furthermore, through RCS analysis, we observed a nonlinear positive correlation between the HbA1c/HDL-C ratio and MAFLD (P for non-linearity < 0.001), with a potential threshold effect point (approximately 3 for the HbA1c/HDL-C ratio). Beyond this threshold point, the slope of the MAFLD prevalence curve increased rapidly. Additionally, in further ROC analysis, we found that for the identification of MAFLD, the HbA1c/HDL-C ratio was significantly superior to HbA1c and HDL-C, with an area under the curve (AUC) and optimal threshold of 0.81 and 4.08, respectively. CONCLUSIONS: Our findings suggest that the newly proposed HbA1c/HDL-C ratio serves as a simple and practical indicator for assessing MAFLD, exhibiting well-discriminatory performance in screening for MAFLD.


Assuntos
HDL-Colesterol , Hemoglobinas Glicadas , Humanos , Hemoglobinas Glicadas/análise , Hemoglobinas Glicadas/metabolismo , Masculino , Feminino , HDL-Colesterol/sangue , Pessoa de Meia-Idade , Adulto , Curva ROC , Biomarcadores/sangue , Exame Físico , Fatores de Risco , Programas de Rastreamento/métodos , Idoso , Hepatopatia Gordurosa não Alcoólica/sangue , Hepatopatia Gordurosa não Alcoólica/diagnóstico , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Modelos Logísticos
13.
Angew Chem Int Ed Engl ; : e202413536, 2024 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-39212254

RESUMO

Multi-resonance (MR) type emitters have emerged as highly promising candidates for high-resolution organic light-emitting diodes (OLEDs). However, thermally activated delayed fluorescence (TADF) emissions with simultaneous short excited state lifetimes and ultrapure blue color (a CIEy close to 0.046 and an emission peak > 440 nm) have rarely been obtained for MR emitters. Herein, we report a design of dual gold-coordinated MR molecules to achieve efficient and short-lived ultrapure blue TADF emission. The dinuclear Au(I) complex, namely iPrAuBN, shows a narrowband deep-blue emission with a peak maximum of 448 nm and a full width at half maximum (FWHM) of 29 nm in doped film. The coordination with two Au atoms significantly shortens the delayed fluorescence lifetime to 7.8 µs in comparing with 60.6 µs for the organic analogue. Solution-processed OLED doped with iPrAuBN demonstrates an ultrapure blue electroluminescence with a peak maximum of 442 nm, a FWHM of 19 nm, Commission International de l'Éclairage (CIE) coordinates of (0.154, 0.036), and a maximum external quantum efficiency of 14.8%.

14.
Nat Commun ; 15(1): 6827, 2024 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-39122681

RESUMO

Developing high-performance Pt-based catalysts with low Pt loading is crucial but challenging for CO oxidation at temperatures below 100 °C. Herein, we report a Pt-based catalyst with only a 0.15 wt% Pt loading, which consists of Pt-Ti intermetallic single-atom alloy (ISAA) and Pt nanoparticles (NP) co-supported on a defective TiO2 support, achieving a record high turnover frequency of 11.59 s-1 at 80 °C and complete conversion of CO at 120 °C. This is because the coexistence of Pt-Ti ISAA and Pt NP significantly alleviates the competitive adsorption of CO and O2, enhancing the activation of O2. Furthermore, Pt single atom sites are stabilized by Pt-Ti ISAA, resulting in distortion of the TiO2 lattice within Pt-Ti ISAA. This distortion activates the neighboring surface lattice oxygen, allowing for the simultaneous occurrence of the Mars-van Krevelen and Langmuir-Hinshelwood reaction paths at low temperatures.

15.
Sensors (Basel) ; 24(16)2024 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-39205054

RESUMO

The practice of auscultation, interpreting body sounds to assess organ health, has greatly benefited from technological advancements in sensing and electronics. The advent of portable and wearable acoustic sensing devices marks a significant milestone in telemedicine, home health, and clinical diagnostics. This review summarises the contemporary advancements in acoustic sensing devices, categorized based on varied sensing principles, including capacitive, piezoelectric, and triboelectric mechanisms. Some representative acoustic sensing devices are introduced from the perspective of portability and wearability. Additionally, the characteristics of sound signals from different human organs and practical applications of acoustic sensing devices are exemplified. Challenges and prospective trends in portable and wearable acoustic sensors are also discussed, providing insights into future research directions.


Assuntos
Acústica , Dispositivos Eletrônicos Vestíveis , Humanos , Acústica/instrumentação , Monitorização Fisiológica/instrumentação , Monitorização Fisiológica/métodos , Telemedicina/instrumentação , Telemedicina/tendências
16.
Front Endocrinol (Lausanne) ; 15: 1403452, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39036046

RESUMO

Objective: Diabetes is a significant risk factor for acute heart failure, associated with an increased risk of mortality. This study aims to analyze the prognostic significance of admission blood glucose (ABG) on 30-day mortality in Chinese patients with acute decompensated heart failure (ADHF), with or without diabetes. Methods: This retrospective study included 1,462 participants from the JX-ADHF1 cohort established between January 2019 to December 2022. We conducted multivariate cox regression, restricted cubic spline, receiver operating characteristic curve analysis, and mediation analysis to explore the association and potential mechanistic pathways (inflammation, oxidative stress, and nutrition) between ABG and 30-day mortality in ADHF patients, with and without diabetes. Results: During the 30-day follow-up, we recorded 20 (5.36%) deaths in diabetic subjects and 33 (3.03%) in non-diabetics. Multivariate Cox regression revealed that ABG was independently associated with 30-day mortality in ADHF patients, with a stronger association in diabetics than non-diabetics (hazard ratio: Model 1: 1.71 vs 1.16; Model 2: 1.26 vs 1.19; Model 3: 1.65 vs 1.37; Model 4: 1.76 vs 1.33). Further restricted cubic spline analysis indicated a U-shaped relationship between ABG and 30-day mortality in non-diabetic ADHF patients (P for non-linearity < 0.001), with the lowest risk at ABG levels approximately between 5-7 mmol/L. Additionally, receiver operating characteristic analysis demonstrated that ABG had a higher predictive accuracy for 30-day mortality in diabetics (area under curve = 0.8751), with an optimal threshold of 13.95mmol/L. Finally, mediation analysis indicated a significant role of inflammation in ABG-related 30-day mortality in ADHF, accounting for 11.15% and 8.77% of the effect in diabetics and non-diabetics, respectively (P-value of proportion mediate < 0.05). Conclusion: Our study confirms that ABG is a vital indicator for assessing and predicting 30-day mortality risk in ADHF patients with diabetes. For ADHF patients, both with and without diabetes, our evidence suggests that physicians should be alert and closely monitor any changes in patient conditions when ABG exceeds 13.95 mmol/L for those with diabetes and 7.05 mmol/L for those without. Timely adjustments in therapeutic strategies, including endocrine and anti-inflammatory treatments, are advisable.


Assuntos
Glicemia , Diabetes Mellitus , Insuficiência Cardíaca , Humanos , Insuficiência Cardíaca/mortalidade , Insuficiência Cardíaca/sangue , Feminino , Masculino , Prognóstico , Estudos Retrospectivos , Glicemia/análise , Idoso , Pessoa de Meia-Idade , Diabetes Mellitus/mortalidade , Diabetes Mellitus/sangue , Fatores de Risco , Doença Aguda , China/epidemiologia , Seguimentos , Admissão do Paciente
17.
Front Nutr ; 11: 1392268, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39036498

RESUMO

Objective: Nutritional status is closely associated with the prognosis of heart failure. This study aims to assess the relationship between the Controlling Nutritional Status (CONUT) score and in-hospital mortality among patients with acute decompensated heart failure (ADHF) in Jiangxi, China. Methods: A retrospective cohort study was conducted. Multivariable Cox regression models and restricted cubic spline regression were employed to evaluate the relationship between the CONUT score and in-hospital mortality in ADHF patients from Jiangxi, China. The predictive value of the CONUT score for in-hospital mortality in ADHF patients was analyzed using receiver operating characteristic curves. Subgroup analyses were performed to identify risk dependencies of the CONUT score in specific populations. Results: The study included 1,230 ADHF patients, among whom 44 (3.58%) mortality events were recorded. After adjusting for confounding factors, a positive correlation was found between the CONUT score and the risk of in-hospital mortality in ADHF patients. Restricted cubic spline regression analysis indicated a non-linear relationship between the CONUT score and the risk of in-hospital mortality in ADHF patients, estimating a rapid increase in mortality risk when the CONUT score exceeded 5. Receiver operating characteristic analysis demonstrated a good predictive value of the CONUT score for all-cause mortality events in ADHF patients [area under the curve = 0.7625, optimal threshold = 5.5]. Additionally, a relatively higher risk associated with the CONUT score was observed in male patients and those with concomitant cerebral infarction. Conclusion: This study reveals a positive correlation between the CONUT score and the risk of in-hospital mortality in ADHF patients. Based on the findings of this study, we recommend maintaining a CONUT score below 5 for patients with ADHF in Jiangxi, China, as it may significantly contribute to reducing the risk of in-hospital all-cause mortality.

18.
Clin Transl Sci ; 17(2): e13718, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-39052984

RESUMO

This study aimed to assess the safety, pharmacokinetics, and food impact on sudapyridine (WX-081), a novel drug designed to inhibit mycobacterium ATP synthase, with clinical applications for drug-resistant tuberculosis (TB) treatment. The research comprised two arms: a single ascending dose (SAD) arm (30 to 600 mg, N = 52) and a multiple ascending dose (MAD) arm (200 to 400 mg, N = 30). The influence of food was evaluated using a 400 mg dose within an SAD cohort. Plasma concentrations of WX-081 and M3 (main metabolite of WX-081) were analyzed using a validated liquid-chromatography tandem mass spectrometry method. In the SAD arm, mean residence time (MRT0-t), terminal half-life, and clearance of WX-081 ranged from 18.87 to 52.8 h, 31.39 to 236.57 h, and 6.4 to 80.34 L/h, respectively. The area under the curve from time zero to the last measurable timepoint (AUC0-t) of WX-081 showed dose-proportional increases in the SAD arm. The disparity between fasted and fed states of WX-081 was significant (p < 0.05), with fed dosing resulting in a 984.07% higher AUC0-t and 961.55% higher maximum plasma concentration. In both the SAD and MAD arms, one case each exhibited a 1 degree atrioventricular block. No QTc elongation was observed, and adverse events were not dose-dependent. Favorable exposure, tolerability, safety, and an extended MRT0-t suggest that WX-081 holds promise as a phase II development candidate for drug-resistant TB treatment.


Assuntos
Antituberculosos , Interações Alimento-Droga , Voluntários Saudáveis , Humanos , Adulto , Masculino , Antituberculosos/farmacocinética , Antituberculosos/administração & dosagem , Antituberculosos/efeitos adversos , Antituberculosos/sangue , Adulto Jovem , Feminino , Relação Dose-Resposta a Droga , Pessoa de Meia-Idade , Área Sob a Curva , Meia-Vida , China , Povo Asiático , Estudos Cross-Over , População do Leste Asiático
19.
Diabetes Metab Syndr Obes ; 17: 2583-2595, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38946912

RESUMO

Purpose: The association between traditional lipid parameters and non-alcoholic fatty liver disease (NAFLD) has been extensively discussed. This study aims to evaluate and compare the lipoprotein combine index (LCI) and traditional lipid parameters [total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C)] to identify NAFLD. Patients and Methods: The analysis included 14,251 participants from the NAfld in the Gifu Area, Longitudinal Analysis (NAGALA). Logistic regression models were employed to calculate standardized odds ratios (ORs) and 95% confidence intervals (CIs) for assessing and comparing the association of LCI and traditional lipid parameters with NAFLD. Additionally, receiver operating characteristic (ROC) curves were used to calculate the area under the curve (AUC) for LCI and traditional lipid parameters in identifying NAFLD. Results: After adjusting for various confounders, we found that LCI was positively associated with NAFLD (OR=2.25, 95% CI 1.92-2.63), and this association was stronger than that of traditional lipid parameters [OR: TC1.23, TG1.73 LDL-C1.10]. Further subgroup analyses revealed that the association of LCI with NAFLD was stronger than other traditional lipid parameters in all subgroups, including men and women, overweight/obese [body mass index (BMI)≥25 kg/m2] and non-obese (BMI<25 kg/m2), and older (age≥45 years) and younger (age<45 years) participants. Additionally, ROC analysis indicated that LCI (AUC=0.8118) had significantly higher accuracy (All DeLong P<0.05) in identifying NAFLD compared to traditional lipid parameters (AUC: TC0.6309; TG0.7969; LDL-C0.6941); HDL-C0.7587). Sensitivity analysis further confirmed the robustness of the study findings. Conclusion: This study revealed for the first time a positive correlation between LCI and NAFLD. Compared to traditional lipid parameters, LCI has a higher correlation with NAFLD. Additionally, further ROC analysis demonstrated that LCI had higher accuracy in identifying NAFLD compared to traditional lipid parameters, suggesting that LCI may be a better marker for NAFLD identification than traditional lipid parameters.

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