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Therapeutic Effect of Donepezil on Neuroinflammation and Cognitive Impairment after Moderate Traumatic Brain Injury 多奈哌齐对中度脑外伤后神经炎症和认知障碍的治疗效果
Pub Date : 2024-07-01 DOI: 10.3390/life14070839
D. Youn, Younghyurk Lee, S. Han, Jong-Tae Kim, Harry Jung, Gui Seung Han, Jung In Yoon, Jae Jun Lee, J. Jeon
Background: Despite the important clinical issue of cognitive impairment after moderate traumatic brain injury (TBI), there is currently no suitable treatment. Here, we used in vitro and in vivo models to investigate the effect of Donepezil—an acetylcholinesterase (AChE) inhibitor—on cognitive impairment in the acute period following injury, while focusing on neuroinflammation and autophagy- and mitophagy-related markers. Methods: The purpose of the in vitro study was to investigate potential neuroprotective effects in TBI-induced cells after donepezil treatment, and the in vivo study, the purpose was to investigate therapeutic effects on cognitive impairment in the acute period after injury by analyzing neuroinflammation and autophagy- and mitophagy-related markers. The in vitro TBI model involved injuring SH-SY5Y cells using a cell-injury controller and then investigating the effect of donepezil at a concentration of 80 μM. The in vivo TBI model was made using a stereotaxic impactor for male C57BL/6J mice. Immuno-histochemical markers and cognitive functions were compared after 7 days of donepezil treatment (1 mg/kg/day). Mice were divided into four groups: sham operation with saline treatment, sham operation with donepezil treatment, TBI with saline treatment, and TBI with donepezil treatment (18 mice in each group). Donepezil treatment was administered within 4 h post-TBI. Results: In vitro, donepezil was found to lead to increased cell viability and 5,5′,6,6′-tetrachloro-1,1′,3,3′-tetraethylbenzimi-dazolylcarbocyanine iodide (JC-1), along with decreased reactive oxygen species (ROS), lactate-dehydrogenase (LDH), 2′-7′-dichlorodihydrofluorescein diacetate (DCFH-DA)-positive cells, and terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL)-positive cells. The mRNA and protein expressions of neuroinflammation (Cyclooxygenase-2, COX-2; NOD-like receptor protein 3, NLRP3; Caspase-1; and Interleukin-1 beta, IL-1β), as well as autophagy- and mitophagy-related markers (death-associated protein kinase 1, DAPK1; PTEN-induced kinase 1, PINK1; BCL2/adenovirus E1B 19 kDa protein-interacting protein 3-like, BNIP3L; Beclin-1, BECN1; BCL2-associated X protein, BAX; microtubule-associated protein 1A/1B-light chain 3B (LC3B); Sequestosome-1; and p62) were all found to decrease after donepezil treatment. The in vivo study also showed that donepezil treatment resulted in decreased levels of cortical tissue losses and brain swelling in TBI compared to the TBI group without donepezil treatment. Donepezil treatment was also shown to decrease the mRNA and Western blotting expressions of all markers, and especially COX-2 and BNIP3L, which showed the most significant decreases. Moreover, TBI mice showed an decreased escape latency, increased alteration rate, and improved preference index, altogether pointing to better cognitive performance after donepezil treatment. Conclusions: Donepezil treatment may be beneficial in improving cognitive impairment in
背景:尽管中度创伤性脑损伤(TBI)后的认知障碍是一个重要的临床问题,但目前还没有合适的治疗方法。在此,我们使用体外和体内模型研究乙酰胆碱酯酶(AChE)抑制剂多奈哌齐对损伤后急性期认知障碍的影响,同时关注神经炎症、自噬和有丝分裂相关标记物。研究方法体外研究的目的是探讨多奈哌齐治疗后对创伤性脑损伤诱导细胞的潜在神经保护作用,体内研究的目的是通过分析神经炎症、自噬和有丝分裂相关标记物来探讨对损伤后急性期认知障碍的治疗效果。体外 TBI 模型包括使用细胞损伤控制器损伤 SH-SY5Y 细胞,然后研究浓度为 80 μM 的多奈哌齐的效果。体内创伤性脑损伤模型是使用立体定向冲击器为雄性 C57BL/6J 小鼠制作的。在多奈哌齐治疗(1 毫克/千克/天)7 天后,对小鼠的免疫组织化学指标和认知功能进行比较。小鼠被分为四组:用生理盐水治疗的假手术组、用多奈哌齐治疗的假手术组、用生理盐水治疗的创伤性脑损伤组和用多奈哌齐治疗的创伤性脑损伤组(每组 18 只小鼠)。多奈哌齐治疗在创伤后 4 小时内进行。结果在体外,多奈哌齐可提高细胞活力和 5,5′,6,6′-四氯-1,1′,3,3′-四乙基苯并咪唑羰花青碘化物(JC-1),同时减少活性氧(ROS)、乳酸脱氢酶(LDH)、2′-7′-二氯二氢荧光素二乙酸酯(DCFH-DA)阳性细胞和末端脱氧核苷酸转移酶 dUTP 缺口标记(TUNEL)阳性细胞均有所减少。神经炎症(环氧化酶-2,COX-2;类NOD受体蛋白3,NLRP3;Caspase-1;白细胞介素-1β,IL-1β)以及自噬和有丝分裂相关标记物(死亡相关蛋白激酶1,DAPK1;PTEN诱导激酶1,PINK1;BCL2/腺病毒激酶1,BCL2-1)的mRNA和蛋白表达量均呈下降趋势;BCL2/腺病毒 E1B 19 kDa 蛋白相互作用蛋白 3-like,BNIP3L;Beclin-1,BECN1;BCL2 相关 X 蛋白,BAX;微管相关蛋白 1A/1B 轻链 3B (LC3B);Sequestosome-1;和 p62)在多奈哌齐治疗后都有所下降。体内研究还显示,与未接受多奈哌齐治疗的创伤性脑损伤组相比,多奈哌齐治疗可降低创伤性脑损伤组的皮质组织损失和脑肿胀水平。多奈哌齐治疗还能降低所有标记物的 mRNA 和 Western 印迹表达,尤其是 COX-2 和 BNIP3L 的表达下降最为显著。此外,创伤性脑损伤小鼠的逃逸潜伏期缩短,改变率增加,偏好指数提高,这些都表明多奈哌齐治疗后小鼠的认知能力有所提高。结论多奈哌齐治疗可通过改善神经炎症、自噬和有丝分裂来改善中度创伤性脑损伤早期的认知障碍。
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引用次数: 0
A Comparative Morphological Study on the Characteristics of Egg Envelopes of Three Cultrinae Fishes (Cyprinidae, Teleostei) in Korea 韩国三种鲤科鱼类卵包膜特征的形态学比较研究
Pub Date : 2024-07-01 DOI: 10.3390/life14070840
Cheol-Woo Park, Jae-Goo Kim
Three species of subfamily Cultrinae currently live in Korea, but Erythroculter erythropterus has been introduced into the Nakdonggang River and has taken over the habitat, reducing the habitat of Culter brevicauda. Only the endangered species C. brevicauda still lives in the Yeongsangang River, and it is necessary to be careful not to introduce E. erythropterus in the future. Hemiculter eigenmanni is also found throughout the country. In order to effectively manage and conserve the species in its various habitats and against invasions, this study was initiated. The ultrastructure of the egg envelopes of three species of Cultrinae inhabiting the Geumgang and Yeongsangang Rivers—E. erythropterus, C. brevicauda, and H. eigenmanni—were observed. It was found that the zona radiata of the egg envelopes of all three species were divided into two layers, an outer and inner layer, with the outer surface having a non-structural form. This form is characteristic of fishes with muddy, stagnant habitats or spawning grounds. The number of pore canals on the surface of the egg envelopes was 83 for E. erythropterus, 75 for C. brevicauda, and 58 for H. eigenmanni per 10 μm2, and the thickness was 7.89 ± 0.34 μm, 12.27 ± 0.46 μm, and 7.42 ± 0.24 μm, respectively. The shape of the micropyle demonstrated a funnel shape narrowing toward the inner diameter in all three species, and the size of the inner diameter was 6.62 ± 0.29 μm in E. erythropterus, 4.19 ± 0.39 μm in C. brevicauda, and 3.98 ± 0.46 μm in H. eigenmanni. The differences between species were identified in the number of pore canals, thickness, and micropyle inner diameter of egg envelopes, which were species-specific. Our study reveals a morphological mechanism in the egg envelope that prevents the formation of interspecific hybrids, and these features can be taxonomic traits that clarify species names. It also provides useful data for the production (breeding) of the second generation in aquaculture.
韩国目前生活着 Cultrinae 亚科的三个物种,但 Erythroculter erythropterus 已被引入洛东江,并占据了其栖息地,减少了 Culter brevicauda 的栖息地。现在只有濒危物种 C. brevicauda 仍生活在永上江,今后必须注意不要引进 E. erythropterus。Hemiculter eigenmanni 也分布在全国各地。为了在不同的栖息地有效管理和保护该物种,防止其入侵,我们开始了这项研究。研究人员观察了栖息在金刚江和灵桑江的三种栉水母的卵包膜超微结构。结果发现,这三种鱼类的卵包膜的放射状带都分为两层,即外层和内层,外层表面为非结构形态。这种形态是栖息地或产卵场泥泞、停滞的鱼类的特征。每 10 μm2 的卵包膜表面孔道数分别为 E. erythropterus 83 个、C. brevicauda 75 个和 H. eigenmanni 58 个,厚度分别为 7.89 ± 0.34 μm、12.27 ± 0.46 μm 和 7.42 ± 0.24 μm。这三个物种的微孔形状均呈漏斗状,向内径方向变窄,内径大小分别为:E. erythropterus 6.62 ± 0.29 μm,C. brevicauda 4.19 ± 0.39 μm,H. eigenmanni 3.98 ± 0.46 μm。在卵包膜的孔道数量、厚度和微孔内径方面发现了物种间的差异,这些差异具有物种特异性。我们的研究揭示了卵包膜的一种形态机制,该机制可防止种间杂交种的形成,这些特征可作为分类学特征来明确物种名称。它还为水产养殖中第二代的生产(育种)提供了有用的数据。
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引用次数: 0
Emergent Penile Venous Stripping for Treating Adolescent Impotence 治疗青少年阳痿的紧急阴茎静脉剥脱术
Pub Date : 2024-06-14 DOI: 10.3390/life14060762
Ko-Shih Chang, Yi-Kai Chang, Cho-Hsing Chung, Geng-Long Hsu, J. Chueh
Introduction: Traditional anatomy-based penile venous surgery is deemed inadequate. Based on revolutionary insights into penile vasculature, penile venous stripping (PVS) shows promise in treating adolescent erectile dysfunction (AED). We aimed to report on this novel approach. Methods: We conducted a retrospective analysis of 223 individuals under 30 diagnosed with veno-occlusive dysfunction (VOD) between 2009 and 2023. Among them, 83 were diagnosed with AED and divided into the PVS (n = 37) and no-surgery (NS, n = 46) groups. All participants had been dissatisfied with conventional therapeutic options. Dual pharmaco-cavernosography was the primary diagnostic modality. PVS involved stripping the deep dorsal vein and two cavernosal veins after securing each emissary’s vein with a 6-0 nylon suture. Erection restoration was accessed using the abridged five-item version of the International Index of Erectile Function (IIEF-5) score system and the erection hardness scale (EHS). Statistical analysis was performed using IBM SPSS 21.0. Results: There were significant differences (both p < 0.001) between the preoperative and postoperative IIEF-5 scores in the PVS and NS groups (9.8 ± 3.0 vs. 20.4 ± 2.2; 9.9 ± 2.5 vs. 9.5 ± 2.1), as well as in the EHS scores (1.7 ± 0.7 vs. 3.5 ± 0.6 and 1.8 ± 0.5 vs. 1.3 ± 0.4). The satisfaction rate was 87.9% (29/33) in the PVS group and 16.7% (17/41) in the NS group. Conclusions: AED can be effectively treated using physiological methods, although larger patient cohorts are needed for validation.
简介传统的基于解剖学的阴茎静脉手术被认为是不够的。基于对阴茎血管的革命性认识,阴茎静脉剥脱术(PVS)有望治疗青少年勃起功能障碍(AED)。我们旨在报告这种新方法。方法:我们对2009年至2023年间确诊为静脉闭塞性功能障碍(VOD)的223名30岁以下的患者进行了回顾性分析。其中 83 人确诊为 AED,分为 PVS 组(37 人)和不手术组(46 人)。所有参与者都对传统治疗方案不满意。双药物海绵体造影术是主要的诊断方法。PVS包括用6-0尼龙缝线固定每条使者静脉后,剥离背深静脉和两条海绵体静脉。勃起恢复情况采用国际勃起功能指数(IIEF-5)五项评分系统简编版和勃起硬度计(EHS)进行评估。统计分析使用 IBM SPSS 21.0 进行。结果PVS 组和 NS 组术前和术后的 IIEF-5 评分(9.8 ± 3.0 vs. 20.4 ± 2.2;9.9 ± 2.5 vs. 9.5 ± 2.1)以及 EHS 评分(1.7 ± 0.7 vs. 3.5 ± 0.6 和 1.8 ± 0.5 vs. 1.3 ± 0.4)均有明显差异(均 p <0.001)。PVS组的满意率为87.9%(29/33),NS组为16.7%(17/41)。结论使用生理学方法可以有效治疗 AED,但需要更大规模的患者群进行验证。
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引用次数: 0
The Efficacy of the Smartphone App for the Self-Management of Low Back Pain: A Systematic Review and Assessment of Their Quality through the Mobile Application Rating Scale (MARS) in Italy 智能手机应用程序对腰背痛自我管理的功效:通过移动应用程序评分量表 (MARS) 对意大利应用程序质量的系统性回顾和评估
Pub Date : 2024-06-13 DOI: 10.3390/life14060760
Luca Scala, Gloria Giglioni, Luca Bertazzoni, Francesca Bonetti
Smartphone apps for self-management are valuable tools to help manage low back pain (LBP) patients. The purposes of this systematic review were to (a) summarize the available studies on the efficacy of smartphone apps for self-management of LBP and (b) identify free applications available in Italy that offer strategies for LBP self-management and provide a qualitative assessment using the Mobile Application Rating Scale (MARS). According to the Prisma Checklist, six bibliographic databases were searched with the keywords ‘low back pain’, ‘mobile application’, ‘smartphone’, and ‘telemedicine’. In total, 852 records were screened, and 16 were included in the systematic review. Of the six RCTs included, four reported a statistically significant decrease in pain in favor of the app group, and two RCTs did not. Only in a non-RCT was there an increase in the disability score. In the application research conducted on mobile stores, we identified and rated 25 applications through MARS. The overall scores ranged from 1.93 to 3.92 for the IOS app and 1.73 to 4.25 for the Play Store app. The findings suggest that few apps meet satisfying quality, content, and functionality criteria for LBP self-management.
用于自我管理的智能手机应用程序是帮助管理腰背痛(LBP)患者的重要工具。本系统性综述的目的是:(a) 总结有关智能手机应用对腰背痛自我管理功效的现有研究;(b) 识别意大利现有的免费应用,这些应用提供了腰背痛自我管理的策略,并使用移动应用评分量表 (MARS) 进行了定性评估。根据 Prisma 核对表,以 "腰背痛"、"移动应用"、"智能手机 "和 "远程医疗 "为关键词搜索了六个文献数据库。共筛选出 852 条记录,其中 16 条被纳入系统综述。在纳入的六项研究性试验中,有四项报告显示应用组的疼痛明显减轻,两项则没有。只有在一项非研究性试验中,残疾评分有所增加。在对移动商店进行的应用研究中,我们通过 MARS 识别并评定了 25 个应用。IOS 应用程序的总分从 1.93 到 3.92 不等,Play 商店应用程序的总分从 1.73 到 4.25 不等。研究结果表明,很少有应用程序在质量、内容和功能方面符合枸杞多糖自我管理的标准。
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引用次数: 0
Deciphering the Interaction between Coniella granati and Pomegranate Fruit Employing Transcriptomics 利用转录组学破解 Granati 柯尼利亚菌与石榴果实之间的相互作用
Pub Date : 2024-06-13 DOI: 10.3390/life14060752
A. Tsafouros, P. Tsalgatidou, Anastasia Boutsika, C. Delis, A. Mincuzzi, Antonio Ippolito, Antonios Zambounis
Pomegranate fruit dry rot is caused by Coniella granati, also referred as Pilidiella granati. In order to decipher the induced responses of mature pomegranates inoculated with the pathogen, an RNA-seq analysis was employed. A high number of differentially expressed genes (DEGs) were observed through a three-time series inoculation period. The transcriptional reprogramming was time-dependent, whereas the majority of DEGs were suppressed and the expression patterns of specific genes may facilitate the pathogen colonization at 1 day after inoculation (dai). In contrast, at 2 dai and mainly thereafter at 3 dai, defense responses were partially triggered in delay. Particularly, DEGs were mainly upregulated at the latest time point. Among them, specific DEGs involved in cell wall modification and degradation processes, pathogen recognition and signaling transduction cascades, activation of specific defense and metabolite biosynthesis-related genes, as well in induction of particular families of transcriptional factors, may constitute crucial components of a defense recruiting strategy employed by pomegranate fruit upon C. granati challenge. Overall, our findings provide novel insights to the compatible interaction of pomegranates—C. granati and lay the foundations for establishing integrated pest management (IPM) strategies involving advanced approaches, such as gene editing or molecular breeding programs for disease resistance, according to European Union (EU) goals.
石榴果实干腐病由 Granati Coniella(又称 Pilidiella granati)引起。为了解读接种了病原体的成熟石榴的诱导反应,我们采用了 RNA-seq 分析方法。通过三次系列接种,观察到大量差异表达基因(DEG)。转录重编程与时间有关,在接种后 1 天(dai),大多数 DEGs 被抑制,特定基因的表达模式可能会促进病原体的定殖。相反,在接种后第 2 天,主要是在接种后第 3 天,防御反应被部分延迟触发。特别是,DEGs 主要在最近的时间点被上调。其中,参与细胞壁修饰和降解过程、病原体识别和信号转导级联、激活特定防御和代谢物生物合成相关基因以及诱导特定转录因子家族的特定 DEGs,可能构成石榴果实在受到 C. granati 挑战时所采用的防御招募策略的关键组成部分。总之,我们的研究结果为了解石榴与 C. granati 的相容性相互作用提供了新的视角,并为根据欧盟(EU)目标制定涉及先进方法(如基因编辑或抗病分子育种计划)的害虫综合治理(IPM)战略奠定了基础。
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引用次数: 0
Application of a Video Head Impulse Test in the Diagnosis of Vestibular Neuritis 视频头脉冲测试在前庭神经炎诊断中的应用
Pub Date : 2024-06-13 DOI: 10.3390/life14060757
Agnieszka Jasinska-Nowacka, Kazimierz Niemczyk
In patients presenting in the emergency department with acute vertigo, a rapid and accurate differential diagnosis is crucial, as posterior circulation strokes can mimic acute vestibular losses, leading to inappropriate treatment. The diagnosis of vestibular neuritis is made based on the clinical manifestation and a bedside otoneurological assessment. In the clinical examination, an evaluation of the vestibulo-ocular reflex is the key element; however, the accuracy of the bedside head impulse test depends on the clinician’s experience. Thus, new diagnostic methods are needed to objectify and facilitate such rapid vestibular evaluations. The aim of our paper is to provide a comprehensive review of the video head impulse test’s application in the diagnosis of vestibular neuritis. Numerous studies have reported advantages that make this method helpful in detailed otoneurological evaluations; in contrast to the bedside head impulse test, it enables an analysis of all six semicircular canals function and records the covert corrective saccades, which are invisible to the naked eye. As a portable and easy diagnostic tool, it is known to improve the diagnostic accuracy in patients with acute vertigo presenting in the emergency department. Moreover, as it evaluates the vestibulo-ocular reflex across different frequencies, as compared to caloric tests, it can be used as an additional test that is complementary to videonystagmography. Recently, several papers have described the application of the video head impulse test in follow-up and recovery evaluations in patients with vestibular neuritis.
在急诊科就诊的急性眩晕患者中,快速准确的鉴别诊断至关重要,因为后循环中风可能会模仿急性前庭损失,从而导致治疗不当。前庭神经炎的诊断基于临床表现和床旁耳神经学评估。在临床检查中,前庭眼反射的评估是关键因素;然而,床旁头部冲动测试的准确性取决于临床医生的经验。因此,需要新的诊断方法来客观化和促进这种快速前庭评估。本文旨在全面回顾视频头脉冲试验在前庭神经炎诊断中的应用。与床旁头脉冲试验相比,视频头脉冲试验可以分析所有六个半规管的功能,并记录肉眼无法看到的隐蔽性纠偏动作。作为一种便携、简易的诊断工具,它可以提高急诊科急性眩晕患者的诊断准确性。此外,与热量测试相比,由于它能评估不同频率的前庭眼反射,因此可作为视频震颤成像的补充测试。最近,多篇论文介绍了视频头脉冲测试在前庭神经炎患者随访和康复评估中的应用。
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引用次数: 0
Ion Channels and Neurological Disease 离子通道与神经系统疾病
Pub Date : 2024-06-13 DOI: 10.3390/life14060758
Carlo Musio
Ion channels are key elements in the control of membrane physiology and neurotransmission because ionic fluxes assure neuronal signal propagation across and between neurons through synaptic transmission [...]
离子通道是控制膜生理学和神经传递的关键因素,因为离子通量通过突触传递确保神经元信号在神经元之间传播 [...] 。
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引用次数: 0
Physical Activity during Pregnancy and Risk of Gestational Diabetes Mellitus: A Meta-Review 孕期体育锻炼与妊娠糖尿病风险:元综述
Pub Date : 2024-06-13 DOI: 10.3390/life14060755
Carmen Rute-Larrieta, Gloria Mota-Cátedra, J. Carmona-Torres, Victoria Mazoteras-Pardo, Esperanza Barroso-Corroto, Carlos Navarrete-Tejero, Michail Zografakis-Sfakianakis, Athina Patelarou, Maria Manuela Martins, Ana da Conceinçao Alves Faria, J. A. Laredo-Aguilera
Background: Nowadays, pregnant women require more individualized attention in their assistance process during pregnancy. One of the aspects that requires the most focus is the suitability of carrying out physical activity. The objective of this meta-review is to find out the effects of physical activity during pregnancy on the incidence of GDM compared to women who do not perform physical activity. Methods: A search was conducted in Cochrane, CSIC, Ebscohost, Proquest, Pubmed, Scielo, and Scopus. The search focused on systematic reviews and meta-analyses published in the last five years. The AMSTAR-2 scale was used as a quality assessment tool for the final sample. Results: A total of 18 systematic reviews and meta-analyses were included. Sixteen of them found out that physical activity during pregnancy has preventive effects for GDM compared with women who lacked physical activity. Among the studies, we found a reduction in the risk of GDM of between 24% and 38% and odds ratios ranging between 0.39 and 0.83 calculated for a 95% CI. Only two studies did not find statistically significant effects. Other variables such as type and duration of physical activity, overweight and obesity, gestational age, etc., were also considered. Conclusions: Physical activity prevents the incidence of GDM. The main characteristics that enhance this preventive effect are starting at the initial stages of pregnancy and maintaining during the whole pregnancy as well as combining strength and aerobic exercise at a low to moderate intensity.
背景:如今,孕妇在怀孕期间需要更多个性化的帮助。其中最需要关注的一个方面就是是否适合进行体育锻炼。本综述旨在了解与不进行体育锻炼的妇女相比,孕期体育锻炼对 GDM 发生率的影响。研究方法在 Cochrane、CSIC、Ebscohost、Proquest、Pubmed、Scielo 和 Scopus 上进行了检索。搜索的重点是最近五年发表的系统综述和荟萃分析。最终样本采用 AMSTAR-2 量表作为质量评估工具。结果共纳入了 18 篇系统综述和荟萃分析。其中 16 项研究发现,与缺乏体育锻炼的妇女相比,孕期体育锻炼具有预防 GDM 的作用。在这些研究中,我们发现发生 GDM 的风险降低了 24% 到 38%,而以 95% CI 计算的几率比在 0.39 到 0.83 之间。只有两项研究未发现有统计学意义的影响。研究还考虑了其他变量,如体育锻炼的类型和持续时间、超重和肥胖、妊娠年龄等。结论体育锻炼可预防 GDM 的发生。增强这种预防效果的主要特点是从怀孕初期开始,并在整个孕期保持,以及将中低强度的力量锻炼和有氧运动相结合。
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引用次数: 0
Is Staged Surgery Always Necessary for Schatzker Type IV–VI Tibial Plateau Fractures? A Comparison Study Schatzker IV-VI 型胫骨平台骨折是否一定需要分期手术?比较研究
Pub Date : 2024-06-13 DOI: 10.3390/life14060753
Kai-Cheng Lin, Fu-Ting Huang, Chun-Yu Chen, Y. Tarng
Aims: This study aims to compare the outcomes of immediate (followed by closed-incision negative-pressure therapy use) versus delayed ORIF in patients with Schatzker type IV–VI TPFs. Patients and Methods: A prospective study of patients undergoing ORIF between January 2018 and December 2019 was performed. The inclusion criteria were patients (>18 years) with a closed fracture sent to the emergency room (ER) within 24 h of injury. All the patients underwent preoperative image evaluation. Two senior orthopedic trauma surgeons evaluated the soft tissue condition in the ER by 5P’s of the compartment syndrome, judging the timing of the operation of definitive ORIF. Group 1 (n = 16) received delayed ORIF. Group 2 (n = 16) received immediate ORIF and ciNPT use. Patient follow-up occurred after 2 and 6 weeks and 3, 6, and 12 months after surgery. The assessments included the time to definitive fixation, the length of hospital stay, the time to bone union, surgical site complications, and reoperation within 12 months. A universal goniometer was used to measure the postoperative 3 m, 6 m, and 12 m ROM. Results: The patient demographics were similar between the groups (p > 0.05). Group 2 displayed significantly a shorter time to definitive fixation (5.94 ± 2.02 vs. 0.61 ± 0.28, p < 0.0001) and hospital stay (14.90 ± 8/78 vs. 10.30 ± 6.78, p = 0.0016). No significant difference was observed in the time to bone union, surgical site complication incidence, and reoperation rates (p > 0.05). Flexion and flexion–extension knee ROM were demonstrated to be significantly improved in Group 2, 3, 6, and 12 months postoperatively (p < 0.0001). Conclusions: In this study, early ORIF and ciNPT use resulted in a shorter hospital length of stay, a reduced time to early active motion of the knee, and improved knee ROM. These results suggest that early ORIF with ciNPT for Schatzker type IV–VI TPFs is safe and effective in some patients. However, further research to confirm these findings across larger and more diverse populations is needed.
目的:本研究旨在比较 Schatzker IV-VI 型 TPF 患者立即接受 ORIF(随后使用闭合切口负压疗法)与延迟接受 ORIF 的疗效。患者和方法:对 2018 年 1 月至 2019 年 12 月间接受 ORIF 的患者进行前瞻性研究。纳入标准为受伤后 24 小时内送至急诊室(ER)的闭合性骨折患者(大于 18 岁)。所有患者均接受了术前影像评估。两名资深创伤骨科外科医生通过室间隔综合征的5P标准评估急诊室的软组织状况,判断明确ORIF手术的时机。第一组(16 人)接受延迟 ORIF。第二组(16 人)立即进行 ORIF 并使用 ciNPT。术后2周、6周、3个月、6个月和12个月后对患者进行随访。评估包括最终固定时间、住院时间、骨结合时间、手术部位并发症以及12个月内的再次手术。使用通用动态关节角度计测量术后3米、6米和12米的关节活动度。结果:两组患者的人口统计学特征相似(P>0.05)。第 2 组的最终固定时间(5.94 ± 2.02 vs. 0.61 ± 0.28,p < 0.0001)和住院时间(14.90 ± 8/78 vs. 10.30 ± 6.78,p = 0.0016)明显更短。骨结合时间、手术部位并发症发生率和再次手术率无明显差异(P > 0.05)。在术后第 2、3、6 和 12 个月,第 2 组的膝关节屈曲和屈伸 ROM 均有明显改善(p < 0.0001)。结论:在这项研究中,早期 ORIF 和 ciNPT 的使用缩短了住院时间,缩短了膝关节早期主动运动的时间,并改善了膝关节 ROM。这些结果表明,对于某些 Schatzker IV-VI 型 TPFs 患者,早期 ORIF 和 ciNPT 是安全有效的。不过,还需要在更大范围和更多样化的人群中开展进一步研究,以证实这些发现。
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引用次数: 0
Enhanced Citric Acid Production through Aspergillus niger: Insights from Fermentation Studies Using Sugarcane Molasses 通过黑曲霉提高柠檬酸生产:利用甘蔗渣进行发酵研究的启示
Pub Date : 2024-06-13 DOI: 10.3390/life14060756
S. Khurshid, Hamad Ashraf, Tanveer Hussain, Muhammad Iqbal, Huma Qureshi, Tauseef Anwar, S. Salmen, Mohamad Javed Ansari
The production of citric acid, a vital agricultural commodity utilized across various industries such as food, beverages, pharmaceuticals, agriculture, detergents, and cosmetics, predominantly relies on microbial fermentation, with Aspergillus niger accounting for approximately 90% of global production. In this study, we aimed to optimize the key factors influencing citric acid production, with a focus on strains, fermentation techniques, and carbon sources, particularly sugarcane molasses. A. niger, sourced from the Botany department/Biotechnology laboratories at Govt. College of Science, Lahore, was employed for citric acid production. The process involved inoculum preparation through spore collection from 3 to 5 days of cultured PDA slants. The fermentation medium, comprising cane molasses with a 15% sugar concentration, was meticulously prepared and optimized for various factors, including magnesium sulfate, potassium ferrocyanide, time of addition of potassium ferrocyanide, ammonium oxalate, and calcium chloride. Our optimization results shed light on the significant impact of different factors on citric acid production. For instance, the addition of 0.4 g/L magnesium sulfate led to a maximum yield of 75%, while 2 g/L potassium ferrocyanide, added at 24 h, achieved a yield of 78%. Remarkably, ammonium oxalate, at a concentration of 10 g/L, resulted in a notable 77% yield. Conversely, the addition of calcium chloride exhibited negligible effects on citric acid production, with the control group yielding more at 78%. Our study underscores the potential for optimizing factors to enhance citric acid production by A. niger in submerged fermentation. These findings highlight the pivotal role of magnesium sulfate, potassium ferrocyanide, and ammonium oxalate in augmenting citric acid yields while emphasizing the minimal impact of calcium chloride. Ultimately, these insights contribute to advancing our understanding of microbial citric acid biosynthesis, providing valuable implications for industrial applications and future research endeavors.
柠檬酸是一种重要的农产品,广泛应用于食品、饮料、制药、农业、洗涤剂和化妆品等各行各业,其生产主要依靠微生物发酵,其中黑曲霉的产量约占全球产量的 90%。在这项研究中,我们旨在优化影响柠檬酸生产的关键因素,重点是菌株、发酵技术和碳源,尤其是甘蔗糖蜜。拉合尔政府科学学院植物学系/生物技术实验室的黑曲霉被用于柠檬酸生产。生产过程包括从培养 3 至 5 天的 PDA 培养基中收集孢子来制备接种物。发酵培养基由含糖浓度为 15%的甘蔗糖蜜组成,经过精心配制,并对硫酸镁、亚铁氰化钾、加入亚铁氰化钾的时间、草酸铵和氯化钙等各种因素进行了优化。我们的优化结果揭示了不同因素对柠檬酸生产的重要影响。例如,添加 0.4 克/升硫酸镁的柠檬酸产量最高可达 75%,而在 24 小时内添加 2 克/升亚铁氰化钾的柠檬酸产量可达 78%。值得注意的是,浓度为 10 克/升的草酸铵的产率高达 77%。相反,添加氯化钙对柠檬酸产量的影响微乎其微,对照组的产量更高,达到 78%。我们的研究强调了在浸没式发酵中优化各种因素以提高黑曲霉柠檬酸产量的潜力。这些发现突出了硫酸镁、亚铁氰化钾和草酸铵在提高柠檬酸产量方面的关键作用,同时强调了氯化钙的最小影响。最终,这些见解有助于加深我们对微生物柠檬酸生物合成的理解,为工业应用和未来的研究工作提供了宝贵的启示。
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引用次数: 0
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Life
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