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Analysis of the dust cleaning performance of a branch-type nozzle. 树枝型喷嘴的除尘性能分析。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241290661
Zhang Yong, Liang Chuoxi, Ye Shiyang, Xiao Guoquan

To solve the problem of uneven dust cleaning in filter cartridges, a simple and easy-to-install "branch-type" nozzle structure was designed to improve cleaning efficiency. In this study, numerical simulations, range analysis methods, orthogonal experimental design, back-blowing experiments, and powder cleaning experiments were conducted. By choosing the back-blowing uniformity as the evaluation index for cleaning performance, with the flow distribution coefficient A, length of branch pipe B, and outlet diameter of main pipe C as the factors, and ignoring the interaction between factors, an orthogonal experiment was designed to simulate the fluid flow field of nine different nozzle structures installed in the back-blowing model. The results were analyzed using range analysis methods, and the optimal nozzle structure parameter combination was determined to be A = 50%/40%/10%, B = 70 mm, and C = 18 mm. Based on the back-blowing experiment, the accuracy of the simulation results was verified, and the back-blowing uniformity was improved by 50.12%. In the powder cleaning experiment, a new method of measuring the mass of dust shaken off by a single pulse of cleaning to calculate the residual dust on the filter cartridge, rather than removing the filter cartridge and weighing it, was found to reduce experimental errors and make the conclusions more solid and convincing. The results showed that the "branch-type" nozzle increases the cleaning efficiency by 37.6% compared with no nozzle installed, proving that the "branch-type" nozzle can reduce the number of reverse cleaning required and extend the cleaning interval, thus optimizing the cleaning performance of the dust collector.

为解决滤筒清灰不均匀的问题,设计了一种结构简单、易于安装的 "分支式 "喷嘴,以提高清灰效率。本研究采用数值模拟、范围分析方法、正交实验设计、反吹实验和清粉实验等方法进行了研究。选择反吹均匀度作为清洗性能的评价指标,以流量分布系数 A、支管长度 B 和主管出口直径 C 为因子,忽略因子间的相互作用,设计了正交实验,模拟了反吹模型中安装的九种不同喷嘴结构的流体流场。采用范围分析方法对结果进行了分析,确定最佳喷嘴结构参数组合为 A = 50%/40%/10%, B = 70 mm, C = 18 mm。根据反吹实验,验证了模拟结果的准确性,反吹均匀度提高了 50.12%。在清粉实验中,发现了一种新方法,即测量单脉冲清粉抖落的粉尘质量来计算滤筒上的残留粉尘,而不是拆下滤筒称重,这种方法减少了实验误差,使结论更可靠、更有说服力。结果表明,与不安装喷嘴相比,"分支型 "喷嘴的清灰效率提高了 37.6%,证明 "分支型 "喷嘴可以减少所需的反向清灰次数,延长清灰间隔,从而优化除尘器的清灰性能。
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引用次数: 0
Low-carbon generation for the restoration of our ecosystems: Technology, strategy, and policy - Editorial. 低碳发电,恢复生态系统:技术、战略和政策 - 社论。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241292417
Hongbo Duan, Jiali Zheng, Shouyang Wang

The article identifies key principles of the important role played by low-carbon generation for ecosystems, which explores studies from perspectives of technology, strategy, and policy. In doing so, it provides a scientific basis for policymakers to formulate efficient and feasible plans to reduce emissions via low-carbon generation to revive ecosystems. Various situations are designed for the development path of low-carbon power generation via adaptive and systematic policies with advanced technologies and appropriate strategies. The article goes on to introduce and discuss a collection of papers that explore the restoration of ecosystem by low-carbon power generation. They discuss how to use technology to optimize low-carbon power generation system, analyze the impact of policies on low-carbon power generation, and explain the mechanism of strategies on low-carbon development of ecosystems.

文章指出了低碳发电对生态系统发挥重要作用的关键原则,从技术、战略和政策的角度进行了探讨研究。从而为政策制定者提供科学依据,以制定高效可行的计划,通过低碳发电减少排放,恢复生态系统。通过先进的技术和适当的战略,采用适应性和系统性的政策,为低碳发电的发展路径设计了多种情境。文章接着介绍并讨论了一系列探讨低碳发电恢复生态系统的论文。他们探讨了如何利用技术优化低碳发电系统,分析了政策对低碳发电的影响,并解释了生态系统低碳发展战略的机理。
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引用次数: 0
Association of pulmonary artery capacitance with long-term outcomes in acute coronary syndrome patients with left ventricular systolic dysfunction. 急性冠状动脉综合征左心室收缩功能不全患者肺动脉电容与长期预后的关系。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241291125
Shu-Yun Hsieh, Jih-Kai Yeh, Yu-Chang Huang, Dong-Yi Chen, Ming-Yun Ho, Chun-Chi Chen, I-Chang Hsieh, Ming-Jer Hsieh

Objective: Hemodynamic monitoring via right heart catheterization (RHC) is critical for managing acute coronary syndrome (ACS) patients with heart failure or cardiogenic shock. However, the prognostic value of RHC-derived hemodynamic indices in ACS patients with left ventricular systolic dysfunction (LVSD) but without heart failure or shock remains uncertain.

Methods: A retrospective cohort study included 1151 consecutive ACS patients who underwent RHC during hospitalization from 2007 to 2016. After excluding patients with shock, pulmonary edema, and severe valvular disease, 750 ACS patients with LVSD and ejection fraction < 50% were analyzed. Major adverse cardiovascular events (MACEs), including myocardial infarction and all-cause mortality, were followed for five years. Cox regression identified predictors of MACEs, adjusting for comorbidities, treatments, and hemodynamic indices, including pulmonary arterial capacitance (PAC).

Results: After a mean follow-up of 4.0 ± 1.7 years, 113 (15.1%) patients experienced MACEs. Multivariate analysis showed that independent predictors included prior stroke, calcified coronary lesions, and PAC. Patients in the lowest PAC tertile (≤2.89 ml/mmHg) had significantly higher risks of myocardial infarction (adjusted hazard ratio [HR]: 3.74; 95% confidence interval [CI]: 1.55-9.07; p = .003), all-cause mortality (adjusted HR: 2.55; 95% CI: 1.27-5.10; p = .008), and MACEs (adjusted HR: 2.35; 95% CI: 1.25-4.42; p = .008) compared to those in the highest tertile (>4.43 ml/mmHg).

Discussion: The study demonstrated that PAC is a notably strong hemodynamic parameter with independent long-term prognostic value in ACS patients with LVSD, who do not present with shock or heart failure. This is the first study to establish the prognostic significance of hemodynamic indices obtained from RHC in this population, extending the clinical relevance of RHC from high-risk to intermediate-risk ACS populations.

Conclusions: The use of RHC to assess hemodynamic indices, including PAC, during index hospitalization in this population may enhance long-term risk stratification and improve outcome prediction.

目的:右心导管(RHC)血流动力学监测对急性冠脉综合征(ACS)合并心力衰竭或心源性休克患者的治疗至关重要。然而,rhc来源的血流动力学指标在伴有左室收缩功能障碍(LVSD)但无心力衰竭或休克的ACS患者中的预后价值仍不确定。方法:回顾性队列研究纳入了1151例2007 - 2016年住院期间接受RHC治疗的连续ACS患者。在排除休克、肺水肿和严重瓣膜疾病患者后,750例伴有LVSD和射血分数的ACS患者。结果:平均随访4.0±1.7年后,113例(15.1%)患者出现了mace。多因素分析显示,独立预测因素包括既往卒中、钙化冠状动脉病变和PAC。最低PAC含量(≤2.89 ml/mmHg)的患者发生心肌梗死的风险明显较高(校正风险比[HR]: 3.74;95%置信区间[CI]: 1.55-9.07;p = .003),全因死亡率(校正HR: 2.55;95% ci: 1.27-5.10;p = 0.008), mace(调整后HR: 2.35;95% ci: 1.25-4.42;p = 0.008),而最高水平的人群(4.43 ml/mmHg)。讨论:研究表明PAC是一个非常重要的血流动力学参数,在ACS合并LVSD患者中具有独立的长期预后价值,这些患者没有出现休克或心力衰竭。这是第一个在该人群中确定RHC血流动力学指标预后意义的研究,将RHC的临床相关性从高危人群扩展到中危ACS人群。结论:在该人群指数住院期间,使用RHC评估包括PAC在内的血流动力学指标可能会加强长期风险分层并改善预后预测。
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引用次数: 0
Signless Laplacian energy aware decision making for electric car batteries based on intuitionistic fuzzy graphs. 基于直觉模糊图的电动汽车电池无符号拉普拉斯能量感知决策。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241301813
A Mohamed Atheeque, S Sharief Basha

Fuzzy graphs (FGs) contain dual-nature characteristics that may be extended to intuitionistic fuzzy graphs. These FGs are better at capturing ambiguity in situations in reality involving decision-making than FGs. In this paper, we address decision-making problems based on intuitionistic fuzzy preference relations (IFPRs) by utilizing Signless Laplacian energy (SLE), intuitionistic fuzzy weighted averaging (IFWA), and intuitionistic fuzzy weighted averaging geometric (IFWAG). The paper suggests an approach that makes use of intuitionistic fuzzy graphs (IFG) and IFPR to optimize batteries for electric vehicles. Electric vehicles (EVs) performance, range, and efficiency are all dependent on battery technology. Research and technological developments may help remove adoption hurdles and increase public interest in EVs. Producers of batteries and automakers are investing in recycling and cost-cutting measures for manufacture. With the use of carbon nanotube electrodes, battery power may be increased tenfold beyond existing capabilities. In a procedure called group decision-making, experts evaluate and choose the best options based on present standards. This method provides crucial data for well-informed decision-making by capturing ambiguity and uncertainty in real-world decision-making. The strategy improves decision-making and maximizes profits, giving investors a useful foundation for choosing environmentally friendly electric vehicle batteries.

模糊图具有双重性质,可以扩展为直观模糊图。这些虚拟角色比虚拟角色更善于捕捉现实中涉及决策的情况中的模糊性。本文利用无符号拉普拉斯能量(SLE)、直觉模糊加权平均(IFWA)和直觉模糊加权平均几何(IFWAG)来解决基于直觉模糊偏好关系(IFPRs)的决策问题。本文提出了一种利用直觉模糊图(IFG)和IFPR对电动汽车电池进行优化的方法。电动汽车(ev)的性能、续航里程和效率都取决于电池技术。研究和技术发展可能有助于消除采用电动汽车的障碍,提高公众对电动汽车的兴趣。电池生产商和汽车制造商正在投资回收和降低生产成本的措施。随着碳纳米管电极的使用,电池的功率可能比现有的能力增加十倍。在一个称为群体决策的过程中,专家们根据现有标准评估并选择最佳方案。该方法通过捕捉现实世界决策中的模糊性和不确定性,为明智的决策提供了关键数据。该策略改善了决策,实现了利润最大化,为投资者选择环保电动汽车电池提供了有用的基础。
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引用次数: 0
The multifaceted helical net of amphipathic alpha-helices; the next dimension of the helical peptide wheel. 由两性α螺旋组成的多面螺旋网;螺旋肽轮的下一个维度。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241266357
Terrance J Sereda, Jordan Beck, Paul Semchuk, Asmaa S Abu Maziad, Jason A Wertheim, Kyle M Koss

The amphipathic nature of helical proteins is crucial to their binding features across a broad spectrum of physiological examples, including heat-shock proteins and hyaluronic acid (HA) receptor binding. By taking advantage of the amphipathic balance of amino acids and their presentation in helical faces, novel synthetic peptides can be designed to improve biofunctionality. We present a new approach for designing synthetic alpha helical peptides using a multifaceted analysis, which allows for new bioengineering designs of amphipathic alpha helices. Amphipathic helical peptides were presented with distinct hydrophobic and hydrophilic faces; two series of analogs, namely, peptides AX9 and AX7, were designed to contain a hydrophobic and hydrophilic face, respectively. The presence of one series of peptides exhibited a distinct hydrophobic face and the second series exhibited a distinct hydrophilic face, which was corroborated with reversed-phase chromatography (C8). Using a multifaceted approach to analyze the potential faces of an amphipathic helix, we demonstrated that these helices contain seven distinct "side-viewed" helical faces (based on the hydrophobic face of the AXP series of analogs), which provides additional spatial dimensional information beyond the averaging effect of the hydrophobic moment generated from the "top-down" view of a helical wheel. Furthermore, we cross-compared our recently published HA-binding peptide in this manner to demonstrate that the most significant binding was related to (1) balanced amphipathicity and (2) a distribution of the key HA-binding domain B1(X7)B2 presented spatially. For example, our most effective peptide binder 17x-3 has five of seven faces with B1(X7)B2 domains, while the positive control mPEP35 has three, which reflects a lower affinity. With such a tool, one is able to map helical peptides on an additional dimension to characterize and redesign fundamental amphipathic properties among other critical characteristics, such as sugar and glycan binding, which is a fundamental characteristic feature of cellular interactions in almost every biological system.

螺旋蛋白的两亲性对其在广泛的生理例子中的结合特征至关重要,包括热休克蛋白和透明质酸(HA)受体结合。利用氨基酸的两亲性平衡及其在螺旋面的呈现,可以设计新的合成肽来改善生物功能。我们提出了一种使用多方面分析设计合成α螺旋肽的新方法,这允许新的生物工程设计的两性α螺旋。两亲螺旋肽具有明显的疏水性和亲水性;两个系列的类似物,即肽AX9和AX7,被设计分别包含疏水性和亲水性面。一个系列的多肽表现出明显的疏水性,第二个系列表现出明显的亲水性,这被反相色谱法证实(C8)。利用多方面的方法来分析两亲螺旋的潜在面,我们证明了这些螺旋包含七个不同的“侧面”螺旋面(基于AXP系列类似物的疏水面),这提供了额外的空间维度信息,超出了从螺旋轮的“自上而下”视图产生的疏水力矩的平均效应。此外,我们以这种方式交叉比较了我们最近发表的ha结合肽,以证明最重要的结合与(1)平衡的两致病性和(2)关键ha结合结构域B1(X7)B2的空间分布有关。例如,我们最有效的肽结合剂17x-3在7个面中有5个面具有B1(X7)B2结构域,而阳性对照mPEP35只有3个面,这反映了较低的亲和力。有了这样的工具,人们能够在一个额外的维度上绘制螺旋肽,以表征和重新设计基本的两性特性以及其他关键特性,例如糖和聚糖结合,这是几乎每个生物系统中细胞相互作用的基本特征。
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引用次数: 0
A voltage mode grounded capacitance multiplier with widely tunable gain for ultra-low cutoff frequency filter. 用于超低截止频率滤波器的电压模式接地电容乘法器,具有广泛的可调增益。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241276765
Yan Li

A voltage mode capacitance multiplier for ultra-low frequency physiological signal processing is designed with a circuit model. With the proposed multiplier, a filter can achieve a cutoff frequency of 12 mHz with a 1 pF basic capacitance and a 10 kΩ resistor. The corresponding multiplication factor will be 1.35 × 109. By changing the controlling terminal, the multiplication factor can be widely tuned from 1950 to 1.35 × 109 and the corresponding filter cutoff frequency will be from 12 mHz to 8.15 kHz. According to the circuit model, to further increase the multiplication factor to decrease the chip area, more multiplication stages can be added to the feedback loop.

通过电路模型设计了一种用于超低频生理信号处理的电压模式电容乘法器。使用所提出的乘法器,滤波器的基本电容为 1 pF,电阻为 10 kΩ 时,截止频率可达 12 mHz。相应的乘法系数为 1.35 × 109。通过改变控制端,乘法系数可从 1950 调整到 1.35 × 109,相应的滤波器截止频率将从 12 mHz 调整到 8.15 kHz。根据电路模型,要进一步提高倍增系数以减小芯片面积,可以在反馈回路中增加更多的倍增级。
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引用次数: 0
Research status and prospect of flexible optimization design methodology of propeller CNC polishing machines. 螺旋桨数控抛光机柔性优化设计方法的研究现状与展望
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241285077
Shihao Liu, Mao Lin, Youjun Bai

Among the components of high-tech ships, the structural complexity of the propeller profile requires a high degree of flexibility in the CNC polishing machine. In addressing this requirement, the study formulates the flexible optimization problem pertaining to research on the propeller CNC polishing machine. A comprehensive analysis is undertaken to scrutinize the geometric features of the propeller and the phenomenon of polished contact. The propeller profile-polishing head dynamic contact mechanism is revealed, and the contact force characteristics of propeller polishing are obtained. It is suggested that the propeller configuration-process-polishing machine structure coupling mechanism be explored under the influence of polishing contact force. Subsequently, a dynamic model of the propeller CNC polishing process is formulated. Based on the above model, a simulation of the motion personification and structural flexibility of the propeller CNC polishing machine is proposed to obtain dynamic personification and flexibility rules. Integrating polishing contact force characteristics with dynamic personification and flexibility rules, the dynamic flexible collaborative optimization principle of the propeller CNC polishing machine is revealed. On this basis, multi-objective optimization modeling and solving are carried out, forming a new method for the flexible optimization design of propeller CNC polishing machines.

在高科技船舶的部件中,螺旋桨外形结构复杂,对数控抛光机的柔性要求很高。针对这一要求,本研究提出了与螺旋桨数控抛光机研究相关的柔性优化问题。研究对螺旋桨的几何特征和抛光接触现象进行了全面分析。揭示了螺旋桨轮廓与抛光头的动态接触机理,获得了螺旋桨抛光的接触力特性。建议探讨抛光接触力影响下的螺旋桨构型-工艺-抛光机结构耦合机理。随后,建立了螺旋桨数控抛光过程的动态模型。在上述模型的基础上,提出了螺旋桨数控抛光机的运动拟人和结构柔性仿真,得到了动态拟人和柔性规则。将抛光接触力特性与动态拟人和柔性规则相结合,揭示了螺旋桨数控抛光机的动态柔性协同优化原理。在此基础上,进行了多目标优化建模与求解,形成了螺旋桨数控抛光机柔性优化设计的新方法。
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引用次数: 0
Evaluation of the effect on stroke mechanism, stroke recurrence and clinical outcome in stroke patients with basilar artery atherosclerosis: A single centre retrospective observational study. 评估基底动脉粥样硬化对脑卒中患者的脑卒中机制、脑卒中复发和临床预后的影响:单中心回顾性观察研究。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241301519
Yasemin Dinç, Rifat Özpar, Gizem Mesut, Farid Hojjati, Serhat Gökçe, Deniz Siğirli, Emel Oğuz Akarsu, Furkan Sarıdaş, Bahattin Hakyemez, Mustafa Bakar

Objectives: Basilar artery atherosclerotic plaque is the predominant cause of stroke in the posterior circulation. İscheamic stroke caused basilar artery atherosclerosis faces a high risk of recurrence despite optimal medical treatment, which might lie in the less than ideal recognition of underlying stroke mechanism and lack of individualized treatment for strokes of different mechanisms. We aim in this study to investigate the effect on stroke mechanism, stroke recurrence and clinical outcome in stroke patients with basilar artery atherosclerosis.

Methods: In this study, 107 ischaemic stroke patients with atherosclerotic stenosis in the BA who were followed up in Uludag University Faculty of Medicine between 1 January 2019 and 1 January 2022. The study was conducted retrospectively and observationally.

Results: According to the results of our study, the degree of stenosis in atherosclerotic stenosis of the symptomatic basilar artery was found to be an independent risk factor for stroke recurrence. Independent risk factors for unfavourable clinical outcomes in these patients were determined as female gender, stenosis being in the proximal segment, stroke mechanism being from artery to artery embolism, and congestive heart failure.

Conclusion: The most striking result of our study is that clinical outcome was found to be closely related to the female gender, the stroke mechanism being artery-to-artery embolism, and the stenosis is in the proximal segment. If stroke mechanisms were evaluated more clearly, it would likely help provide individualised treatments.

目的:基底动脉粥样硬化斑块是导致后循环卒中的主要原因。基底动脉粥样硬化引起的脑卒中尽管经过了最佳的药物治疗,但仍面临着很高的复发风险,其原因可能在于对脑卒中潜在机制的认识不够理想,以及缺乏针对不同机制脑卒中的个体化治疗。本研究旨在探讨基底动脉粥样硬化对脑卒中患者的脑卒中机制、脑卒中复发和临床预后的影响:本研究选取了乌鲁达格大学医学院在 2019 年 1 月 1 日至 2022 年 1 月 1 日期间随访的 107 例基底动脉粥样硬化性狭窄缺血性脑卒中患者。研究以回顾性和观察性的方式进行:根据我们的研究结果,发现无症状基底动脉粥样硬化性狭窄的狭窄程度是脑卒中复发的独立风险因素。这些患者不利临床结果的独立风险因素包括女性、狭窄位于近端、卒中机制为动脉间栓塞和充血性心力衰竭:我们的研究最显著的结果是发现临床结果与女性性别、中风机制为动脉到动脉的栓塞以及狭窄位于近段密切相关。如果能更清楚地评估中风机制,将有助于提供个性化治疗。
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引用次数: 0
Melatonin as an adjunctive therapy in cardiovascular disease management. 褪黑素作为心血管疾病治疗的辅助疗法。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241299993
Zan Luo, Yuan Yuan Tang, Liang Zhou

Melatonin, N-acetyl-5-methoxytryptamine, is a neuroendocrine hormone secreted by the pineal gland. This pleiotropic indoleamine possesses amphiphilic properties, allowing it to penetrate most biological barriers and exert its effects at the subcellular level. Importantly, melatonin also plays a crucial role in regulating the body's response to circadian rhythms, adapting to internal and external environmental cues. Melatonin functions as a powerful antioxidant and free radical scavenger, protecting cells from oxidative damage. Its diverse physiological roles include maintaining the functional integrity of endothelial cells, thereby preventing atherosclerosis, a major contributor to cardiovascular disease. Additionally, melatonin exhibits antioxidant and free radical scavenging properties, potentially improving metabolic disorders. These combined effects suggest a unique adjunctive therapeutic potential for melatonin in treating cardiovascular diseases. This review aims to explore the mechanisms by which melatonin interacts with the cardiovascular system and investigates its potential use as an adjunctive therapeutic agent in managing cardiovascular disease.

褪黑素,即 N-乙酰基-5-甲氧基色胺,是松果体分泌的一种神经内分泌激素。这种多效吲哚胺具有两亲性,能够穿透大多数生物屏障,在亚细胞水平发挥效应。重要的是,褪黑激素还在调节人体对昼夜节律的反应、适应内外环境线索方面发挥着至关重要的作用。褪黑激素是一种强大的抗氧化剂和自由基清除剂,可保护细胞免受氧化损伤。褪黑素的生理作用多种多样,包括维持内皮细胞功能的完整性,从而防止动脉粥样硬化这一心血管疾病的主要诱因。此外,褪黑素还具有抗氧化和清除自由基的特性,可改善代谢紊乱。这些综合效应表明,褪黑素在治疗心血管疾病方面具有独特的辅助治疗潜力。本综述旨在探讨褪黑素与心血管系统相互作用的机制,并研究其作为辅助治疗剂用于治疗心血管疾病的潜力。
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引用次数: 0
Validation of plasma neutrophil gelatinase-associated lipocalin as a biomarker for diabetes-related acute kidney injury. 验证血浆中性粒细胞明胶酶相关脂联素作为糖尿病相关急性肾损伤的生物标记物的有效性。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241288776
Kendra B Bufkin, Zubair A Karim, Jeane Silva

Objective: This retrospective study aimed to investigate the correlation between neutrophil gelatinase-associated lipocalin (NGAL) levels and the clinical progression and severity of diabetes-related acute kidney injury (AKI). The quantitative determination of NGAL in plasma on the Beckman Coulter AU480 analyzer was measured using the Bioporto NGAL TestTM, a particle-enhanced turbidimetric immunoassay with hospitalized patients at an East Central Georgia Medical Center.

Methods: The clinical determination of plasma NGAL included a retrospective cohort study where 45 adult patients were selectively recruited. The selective criteria were patients with and without diabetes mellitus (DM) at risk for developing AKI admitted to the Medical Center between January and November 2023. All patients included in the study had pNGAL levels measured upon admission and up to 96 h post-admission. Receiver operating characteristics and likelihood ratio methods were used to determine optimal sensitivity, specificity, and cutoff value of pNGAL in AKI patients associated with and without DM.

Results: The intra-assay and interassay imprecision percent relative standard deviation was between 2.7% and 4.2%. pNGAL levels were higher for patients with AKI compared to non-AKI patients, regardless of DM status. The optimal cutoff value for pNGAL to predict AKI for patients with DM was 293 ng/mL, with a sensitivity of 80% and specificity of 87%. In a multivariate logistic regression model, pNGAL levels at 48 h post-admission were determined to be associated with diabetes-related AKI patients.

Conclusion: Plasma NGAL levels at 48 h are associated with patients with diabetes-related AKI. The specific cutoff values for AKI for early diagnosis and risk stratification and its association with comorbidities must be determined to improve patient outcomes.

研究目的这项回顾性研究旨在探讨中性粒细胞明胶酶相关脂质体(NGAL)水平与糖尿病相关急性肾损伤(AKI)的临床进展和严重程度之间的相关性。在贝克曼库尔特 AU480 分析仪上使用 Bioporto NGAL TestTM(一种微粒增强比浊免疫测定法)对乔治亚州中东部医疗中心的住院患者血浆中的 NGAL 进行了定量测定:血浆 NGAL 的临床测定包括一项回顾性队列研究,选择性地招募了 45 名成年患者。选择标准是 2023 年 1 月至 11 月期间在医疗中心住院的有或没有糖尿病(DM)且有发生 AKI 风险的患者。所有纳入研究的患者都在入院时和入院后 96 小时内测量了 pNGAL 水平。研究采用接收者操作特征法和似然比法来确定pNGAL在伴有或不伴有DM的AKI患者中的最佳灵敏度、特异性和临界值:无论是否患有糖尿病,AKI 患者的 pNGAL 水平均高于非 AKI 患者。预测糖尿病患者 AKI 的 pNGAL 最佳临界值为 293 纳克/毫升,灵敏度为 80%,特异度为 87%。在多变量逻辑回归模型中,入院后48小时的pNGAL水平与糖尿病相关AKI患者有关:结论:48 小时后的血浆 NGAL 水平与糖尿病相关性 AKI 患者有关。结论:48 小时时的血浆 NGAL 水平与糖尿病相关性 AKI 患者有关。必须确定 AKI 的具体临界值,以便早期诊断和进行风险分层,并确定其与合并症的关系,从而改善患者的预后。
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