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1.
Anal Chem ; 96(28): 11508-11515, 2024 07 16.
Artículo en Inglés | MEDLINE | ID: mdl-38953489

RESUMEN

26% of the world's population lacks access to clean drinking water; clean water and sanitation are major global challenges highlighted by the UN Sustainable Development Goals, indicating water security in public water systems is at stake today. Water monitoring using precise instruments by skilled operators is one of the most promising solutions. Despite decades of research, the professionalism-convenience trade-off when monitoring ubiquitous metal ions remains the major challenge for public water safety. Thus, to overcome these disadvantages, an easy-to-use and highly sensitive visual method is desirable. Herein, an innovative strategy for one-to-nine metal detection is proposed, in which a novel thiourea spectroscopic probe with high 9-metal affinity is synthesized, acting as "one", and is detected based on the 9 metal-thiourea complexes within portable spectrometers in the public water field; this is accomplished by nonspecialized personnel as is also required. During the processing of multimetal analysis, issues arise due to signal overlap and reproducibility problems, leading to constrained sensitivity. In this innovative endeavor, machine learning (ML) algorithms were employed to extract key features from the composite spectral signature, addressing multipeak overlap, and completing the detection within 30-300 s, thus achieving a detection limit of 0.01 mg/L and meeting established conventional water quality standards. This method provides a convenient approach for public drinking water safety testing.


Asunto(s)
Agua Potable , Contaminantes Químicos del Agua , Agua Potable/análisis , Contaminantes Químicos del Agua/análisis , Medición de Riesgo , Tiourea/química , Análisis Espectral/métodos , Aprendizaje Automático
2.
Sci Total Environ ; 948: 174762, 2024 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-39029763

RESUMEN

Global warming has an increasingly serious impact on the ecological environment. Copper bioavailability plays an important physiological role in revealing the mechanism of carbon cycle, photosynthesis, and respiration. Here we reported a multifunctional carbon quantum dots fluorescence probe for no-interfered and visual determination of phytoplankton-based intracellular Cu(II), glucose, and reactive oxygen species (ROS). Glucose and ROS were explored to reflect the change in primary biomass and carbon sequestration. H2O2 is acted as the standard material of ROS, and the fitting parameter for glucose and H2O2 concentrations was 0.42(r = 0.9972). Both glucose, ROS, and Cu2+ detection have advantages of wide linear range (24.8-3.96 × 105 µg/L, 6-9.6 × 105 ng/L and 5-15 × 103 nmol/L, respectively), high precision (1.22 %, 6.38 %, and 7.37 %, respectively), and low detection limit (86.7 ng/L, 5.32 ng/L, and 0.367 nmol/L, respectively). Cu2+ uptake was increased with the increasing of temperature, and the copper bioavailability in increasing order was Cu-PorPhyr > Cu-phthalate > Cu-EDTA. There were significant positive correlation between glucose and Cu2+(r = 0.9943). Copper bioavailability would directly affect the carbon sequestration, i.e., when the concentration of intracellular copper increases by 1 mg/L, the content of intracellular glucose increases by 412 mg/L approximately, equally to 2.47 g/L of carbon dioxide was fixed.


Asunto(s)
Secuestro de Carbono , Cobre , Calentamiento Global , Fitoplancton , Cobre/metabolismo , Monitoreo del Ambiente/métodos , Disponibilidad Biológica , Especies Reactivas de Oxígeno/metabolismo , Contaminantes Químicos del Agua/análisis
3.
J Hazard Mater ; 468: 133841, 2024 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-38394898

RESUMEN

Microplastics (MPs) have been recognized as a serious new pollutant, especially nanoplastics (NPs) pose a greater threat to marine ecosystem than larger MPs. Within these ecosystems, phytoplankton serve as the foundational primary producers, playing a critical role in carbon sequestration. Copper (Cu), a vital cofactor for both photosynthesis and respiration in phytoplankton, directly influences their capacity to regulate atmospheric carbon. Therefore, we assessed the impact of NPs on Cu bioavailability and carbon sequestration capacity. The results showed that polystyrene nanoplastics (PS-NPs) could inhibit the growth of Thalassiosira weissflogii (a commonly used model marine diatom) and Chlorella pyrenoidosa (a standard strain of green algae). The concentration of Cu uptake by algae has a significant negative correlation with COPT1 (a Cu uptake protein), but positive with P-ATPase (a Cu efflux protein). Interestingly, PS-NPs exposure could reduce Cu uptake and carbon Cu sequestration capacity of algae, i.e., when the concentration of PS-NPs increases by 1 mg/L, the concentration of fixed carbon dioxide decreases by 0.0023 ppm. This provides a new perspective to reveal the influence mechanisms of PS-NPs on the relationship between Cu biogeochemical cycling and carbon source and sink.


Asunto(s)
Chlorella , Diatomeas , Contaminantes Químicos del Agua , Ecosistema , Microplásticos , Plásticos , Cobre , Disponibilidad Biológica , Secuestro de Carbono , Fitoplancton , Poliestirenos
4.
Sci Total Environ ; 883: 163812, 2023 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-37121328

RESUMEN

More than 80 % of the primary biomass in marine environments is provided by phytoplankton. The primary mechanism in the trace element sink is the absorption of trace elements by phytoplankton. Because of their difficult degradability and bioaccumulation, petroleum hydrocarbons are one of the most significant and priority organic contaminants in the marine environment. This study chose Chlorella pyrenoidosa as the model alga to be exposed to short and medium-term petroleum hydrocarbons. The ecological risk of accidental and persistent petroleum hydrocarbon contamination was thoroughly assessed. The interaction and intergenerational transmission of phytoplankton physiological markers and trace element absorption were explored to reflect the change in primary biomass and trace element sink. C. pyrenoidosa could produce a large number of reactive oxygen species stimulated by the concentration and exposure time of pollutants, which activated their antioxidant activity (superoxide dismutase (SOD) activity, ß-carotene synthesis, antioxidant trace elements uptake) and peroxides production (hydroxyl radicals and malondialdehyde). The influence of the growth phase on SOD activity, copper absorption, and manganese adsorption in both persistent and accidental pollution was significant (p < 0.05, F > Fα). Adsorption of manganese and selenium positively connected with SOD, malondialdehyde, and Chlorophyl-a (p < 0.01). These findings convincingly indicate that petroleum hydrocarbon contamination can interfere with primary biomass and trace element sinks.


Asunto(s)
Chlorella , Contaminación por Petróleo , Petróleo , Oligoelementos , Biomasa , Manganeso , Hidrocarburos , Fitoplancton , Petróleo/toxicidad , Contaminación por Petróleo/efectos adversos , Superóxido Dismutasa , Malondialdehído
5.
Anal Chem ; 94(42): 14801-14809, 2022 10 25.
Artículo en Inglés | MEDLINE | ID: mdl-36239120

RESUMEN

Via the photodegradation of dissolved iron (dFe) complexes in the euphotic zone, released free Fe(III) is the most important source of bioavailable iron for eukaryotic phytoplankton. There is an urgent need to establish bioavailability-based dissolved iron speciation (BDIS) methods. Herein, an intelligent system with dFe pretreatment and a colorimetric sensor is developed for real-time monitoring of newly generated Fe(III) ions. According to the photodegradation kinetics of dFe, including kinetic constant and photogenerated time of free Fe(III) ions, 3 sources, 6 kinds, and 12 species of dFe are determined by our photocatalytic-assisted colorimetric sensor and deep learning model within 20.0 min. The algal dFe-uptake for 4 days can be predicted by BDIS with correlation coefficient 0.85, which could be explained by the hard and soft acids and bases theory (HSAB) and density functional theory (DFT). These results successfully demonstrate the proof-of-concept for photodegradation kinetics-based speciation and bioavailability assessments of dissolved metals.


Asunto(s)
Aprendizaje Profundo , Hierro , Hierro/metabolismo , Disponibilidad Biológica , Fotólisis , Colorimetría
6.
Chemosphere ; 307(Pt 4): 136094, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35995200

RESUMEN

Polystyrene (PS) is selected as a representative nanoplastic and persistent pollutant for its difficult degradation and wide application. The environmental risk assessment of PS is obstructed by the toxic dye-based fluorescent PS, which false positives could be induced by the leakage of dye. For high biocompatibility, low toxicity, hydrophilicity, good water dispersibility, strong fluorescent stability, graphene oxide quantum dots (o-CQDs) are selected and embedded into PS microspheres, i.e., o-CQDs@PS, by microemulsion polymerization and denoted as CPS. Meanwhile, the sizes of CPS, e.g., 100, 150, and 200 nm, could be controlled by optimizing the type and number of water-soluble initiators. The anti-interference, low toxicity, and in vivo fluorescent tracing of CPS are proven by the coexistence of metals (including Fe2+, Fe3+, K+, Ba2+, Al3+, Zn2+, Mg2+, Ca2+, and Na+) on the fluorescence intensity of CPS, the growth of Chlorella pyrenoidosa and Artemia cysts as aquatic phytoplankton and zooplankton cultured with CPS, and the transfer of CPS from water into brine shrimp. In the concentration range of 0.1-100 mg/L, CPS can be quantitatively determined, which is suitable for coastal water and wastewater treatment plants. Therefore, CPS with standard size is suitable as reference material of PS.


Asunto(s)
Chlorella , Contaminantes Ambientales , Nanosferas , Puntos Cuánticos , Animales , Artemia/metabolismo , Contaminantes Ambientales/metabolismo , Grafito , Microplásticos , Poliestirenos/toxicidad , Puntos Cuánticos/toxicidad , Agua/metabolismo
7.
J Pharm Anal ; 12(3): 436-445, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35811619

RESUMEN

As the most commonly used antipyretic and analgesic drug, paracetamol (PA) coexists with neurotransmitter dopamine (DA) in real biological samples. Their simultaneous determination is extremely important for human health, but they also interfere with each other. In order to improve the conductivity, adsorption affinity, sensitivity, and selectivity of TiO2-based electrochemical sensor, N-doped carbon@TiO2 double-shelled hollow sphere (H-C/N@TiO2) is designed and synthesized by simple alcoholic and hydrothermal method, using polystyrene sphere (PS) as a template. Meanwhile, TiO2 hollow spheres (H-TiO2) or N-doped carbon hollow spheres (H-C/N) are also prepared by the same method. H-C/N@TiO2 has good conductivity, charge separation, and the highly enhanced and stable current responses for the detection of PA and DA. The detection limit and linear range are 50.0 nmol/L and 0.3-50 µmol/L for PA, 40.0 nmol/L and 0.3-50 µmol/L for DA, respectively, which are better than those of carbon-based sensors. Moreover, this electrochemical sensor, with high selectivity, strong anti-interference, high reliability, and long time durability, can be used for the simultaneous detection of PA and DA in human blood serum and saliva. The high electrochemical performance of H-C/N@TiO2 is attributed to the multi-functional combination of different layers, because of good conductivity, absorption and electrons transfer ability from in-situ N-doped carbon and electrocatalytic activity from TiO2.

8.
J Agric Food Chem ; 70(31): 9769-9778, 2022 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-35895310

RESUMEN

The high-carbohydrate, low-fat, low-protein (HC-LFP) and low-carbohydrate, high-fat, high-protein (LC-HFP) diets are the main dietary patterns worldwide. The influence of dietary patterns on bioavailable metals, gut microbes, and their interaction is still unknown. A biomimetic digestive tract with full functions is constructed to transform the diets into chyme, and the gut microbes are cultured with the corresponding chyme. The diet species-specificity in bioavailable metal content and the positive and negative correlations between bioavailable metals and microbial reproductions are disclosed. The safe dosage and maximum consumption are 369.5 and 858.6 g/d and 268.6 and 3119.0 g/d for LC-HFP and HC-LFP, respectively. When replacing HC-LFP with LC-HFP for 21 days, the bioavailability of Fe and Cr is increased 83.2% and 268.4%, respectively; the reproductions of harmful and benefical microbes are significantly increased and decreased. The prevalences of obesity, inflammation, septicemia, and cancer are increased, and then the risk of dietary pattern shift is disclosed.


Asunto(s)
Microbioma Gastrointestinal , Carbohidratos , Dieta con Restricción de Grasas , Humanos , Obesidad , Medición de Riesgo
9.
Dalton Trans ; 51(13): 5168-5174, 2022 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-35274640

RESUMEN

It is a challenging task to explore highly active and stable noble-metal-free bifunctional electrocatalysts for water splitting, both in hydrogen evolution reaction (HER) and oxygen evolution reaction (OER). Herein, a new dual-confinement strategy for the fabrication of cobalt-base phosphide in the carbon nanofibers (CNFs) was proposed via electrospinning, followed by the corresponding pyrolysis. The ultrafine phosphides derived from the pore confinement of ZIF and space confinement of the polymer revealed abundant active sites and P defects. More importantly, by introducing a second metal element Ni or Cu, the electronic structure and synergistic effect were further enhanced, and the obtained bimetallic CoNiPx-CNF electrocatalyst exhibited the remarkable performance for HER and OER, featuring the low η10 values of 154 and 269 mV in 1.0 M KOH electrolyte, respectively. CoNiPx-CNFs as a catalyst for both anode and cathode showed a current density of 10 mA cm-2 at a voltage of 1.56 V, exceeding better stability, which is superior to most non-noble metal electrocatalysts reported in a previous research. The dual-confinement strategy is believed to provide an effective and simple approach for the synthesis of high-performance and cost-efficient bifunctional electrocatalysts for overall water splitting.

10.
Artículo en Chino | WPRIM (Pacífico Occidental) | ID: wpr-955456

RESUMEN

As the most commonly used antipyretic and analgesic drug,paracetamol(PA)coexists with neuro-transmitter dopamine(DA)in real biological samples.Their simultaneous determination is extremely important for human health,but they also interfere with each other.In order to improve the conductivity,adsorption affinity,sensitivity,and selectivity of TiO2-based electrochemical sensor,N-doped carbon@-TiO2 double-shelled hollow sphere(H-C/N@TiO2)is designed and synthesized by simple alcoholic and hydrothermal method,using polystyrene sphere(PS)as a template.Meanwhile,TiO2 hollow spheres(H-TiO2)or N-doped carbon hollow spheres(H-C/N)are also prepared by the same method.H-C/N@TiO2 has good conductivity,charge separation,and the highly enhanced and stable current responses for the detection of PA and DA.The detection limit and linear range are 50.0 nmol/L and 0.3-50 μmol/L for PA,40.0 nmol/L and 0.3-50 μmol/L for DA,respectively,which are better than those of carbon-based sen-sors.Moreover,this electrochemical sensor,with high selectivity,strong anti-interference,high reli-ability,and long time durability,can be used for the simultaneous detection of PA and DA in human blood serum and saliva.The high electrochemical performance of H-C/N@TiO2 is attributed to the multi-functional combination of different layers,because of good conductivity,absorption and electrons transfer ability from in-situ N-doped carbon and electrocatalytic activity from TiO2.

11.
Food Chem ; 373(Pt B): 131593, 2022 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-34838401

RESUMEN

Nitrite is one of the most common carcinogens in daily food. Its simple, rapid, inexpensive, and in-field measurement is important for food safety, based on the requirements of the standard from Codex Alimentarius Commission and China. Using polyacrylonitrile (PAN) and thin layer silica gel (SG), p-aminophenylcyclic acid (SA) and naphthalene ethylenediamine hydrochloride (NEH), as carriers and chromogenic agents, respectively, PAN-NSS as nitrite color sensor is proposed. After fixing and protecting of SA and NEH with layer-upon-layer PAN, the validity period of the test paper can be prolonged from 7 days to more than 30 days. The reproducibility of PAN-NSS preparation is ensured by electrospinning. Combined with PAN-NSS, deep convolutional neural network (DCNN) and APP as a visual monitoring platform, which has the functions of rapid sampling, data processing and transmission, intuitive feedback, etc., and provides a fully integrated detection system for field detection.


Asunto(s)
Colorimetría , Nitritos , China , Redes Neurales de la Computación , Reproducibilidad de los Resultados
12.
J Hazard Mater ; 416: 126146, 2021 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-34492932

RESUMEN

As worldwide edible fungi, Lentinula edodes and Agaricus bisporus accumulate both essential and harmful metals. Metal bioavailability is important for metal benefit-risk assessment. A full functional model of digestive tracts (including digestion, metabolism, and absorption) is established. Under the digestive tract functions, the bioaccessible and bioavailable metals are released from edible fungi and absorbed by intestinal tract, respectively. Based on bioavailable metal contents in the intestine, safe dosage and maximum consumption are 43.52 g/d and 248.7 g/d for Agaricus bisporu, 20.59/328.9 g/d (for males/ female) and 132.9 g/d for Lentinus edodes; V, Co, Ni, Cu, Zn, Se, Cr, Cd and Pb in Agaricus bisporus and Lentinula edodes are absorbed mainly in the large intestine; Fe is mainly absorbed in small intestine; edible fungi species-specificity in metal bioavailability is observed for As and Mn, which are mainly absorbed by small and large intestine for Agaricus bisporus and Lentinus edodes, respectively; and then metal toxicity on small and large intestine is disclosed. Metal benefit-risk is assessed by the content of monolayer liposome-extracted metal in the chyme from small and large intestine, which is controlled by the gastrointestinal functions, metal and edible fungi species.


Asunto(s)
Agaricus , Metales Pesados , Disponibilidad Biológica , Biomimética , Digestión , Monitoreo del Ambiente , Femenino , Tracto Gastrointestinal/metabolismo , Humanos , Metales Pesados/análisis , Medición de Riesgo
13.
Mitochondrial DNA B Resour ; 5(1): 306-307, 2020 Feb 06.
Artículo en Inglés | MEDLINE | ID: mdl-33366532

RESUMEN

Gigantochloa verticillata is produced in Mengla and Jinghong, Yunnan Province, China, and cultivated in Hong Kong. Vietnam, Thailand, India, Indonesia, and Malaysia are distributed and cultivated. We determined the complete chloroplast genome sequence for G. verticillata using Illumina sequencing data. The complete chloroplast sequence is 139,489 bp, including large single-copy (LSC) region of 83,062 bp, small single-copy (SSC) region of 12,877 bp, and a pair of invert repeats (IR) regions of 21,775 bp. Plastid genome contain 132 genes, 85 protein-coding genes, 39 tRNA genes, and 8 rRNA genes. Phylogenetic analysis based on 23 chloroplast genomes indicates that G. verticillata is closely related to Dendrocalamus latiflorus in Bambusodae.

14.
ISA Trans ; 98: 207-226, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31493878

RESUMEN

To address the problem of control surface redundancy for compound high-speed rotorcraft in multi-mode conversion process, a hybrid multi-objective control allocation strategy based on adaptive particle swarm optimization (PSO) algorithm is proposed. First, the control allocation problem is converted to a hybrid multi-objective optimization problem to solve the control redundancy, and a hybrid multi-objective optimization performance function is designed to satisfy the multiple requirements of flight mission. Second, a preference matrix is designed to determine the weight coefficients of the optimization performance function. The preference matrix can simplify the complexity of hybrid multi-objective optimization problem. Finally, an adaptive PSO algorithm is designed to solve the hybrid multi-objective control allocation dynamically. The simulation verifies the feasibility and effectiveness of the control allocation strategy, which eliminates the need of extra controllers in the mode conversion, reduces the difficulty of flight control system design and improves the system security.

15.
Zhongguo Zhong Yao Za Zhi ; 45(23): 5770-5776, 2020 Dec.
Artículo en Chino | MEDLINE | ID: mdl-33496118

RESUMEN

Trace metals deficiency or excess are associated with the etiology and pathogenesis of rheumatoid arthritis(RA). Aconiti Radix Cocta(A) and Paeoniae Radix Alba(B) are commonly used together for the treatment of RA. In this study, we aim to determine anti-arthritic-related metal bioavailability in the compatibility of herb A and B for avoiding metal deficiency or excess, and optimize the combination ratio of herb A and B, accordingly. Anti-arthritic-related metal bioaccessibility were evaluated by in vitro simulator of all gastrointestinal tract(including mouth, stomach, small and large intestines), and the roles of gastrointestinal digestive enzymes and intestinal microflora were investigated. Anti-arthritic-related metal bioavailability was assessed by the affinity adsorption with liposomes. The results indicated that compatibility proportion of corresponding herbal plants, gastrointestinal digestion and microbial metabolic, which could affect metal digestion and absorption. The optimal compatibility proportion of 1 A∶1 B is recommended, according to the dose of anti-arthritic-related metal bioavailability, which is often chosen for clinical practice of RA therapy. Thus, anti-arthritic-related metal bioavailability might be the key active substances for RA treatment.


Asunto(s)
Aconitum , Medicamentos Herbarios Chinos , Paeonia , Disponibilidad Biológica
16.
Chemosphere ; 237: 124430, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31369904

RESUMEN

Coastal environment are often stress from petroleum-derived hydrocarbon pollution. However, petroleum-derived hydrocarbon is persistent organic pollutants and their biodegradation by phytoplankton is little known. Five species of marine phytoplankton, including Dunaliella salina, Chlorella sp., Conticribra weissflogii, Phaeodactylum tricornutum Bohlin, and Prorocentrum donghaiense, have been used to test their tolerance to petroleum hydrocarbon contamination. D.salina and Chlorella sp can survive in high levels of No. 0 diesel oils water-soluble fractions (WSFs, 5.0 mg L-1), furthermore, petroleum hydrocarbon could be biodegraded effectively by them (Fig. 2). The content of ß-carotene in these two species of phytoplankton has significant correlation with degradation rate of WSFs concentrations (Fig. 4), petroleum hydrocarbons could be biodegraded effectively by algae. Meanwhile, the ·OH in seawater can be removed by ß-carotene effectively so that algal cells could be protected by the ß-carotene for its strong antioxidant capacity. Therefore, ß-carotene as a coin has two sides on the degradation of WSFs. Here we explore the relationship between plankton-based ß-carotene and biodegradable adaptabllity to petroleum-derived hydrocarbon, which offers a green technology for petroleum-derived hydrocarbon treatment.


Asunto(s)
Biodegradación Ambiental , Hidrocarburos/metabolismo , Fitoplancton/química , beta Caroteno/análisis , Petróleo , Contaminación por Petróleo/prevención & control , Plancton/química , Plancton/metabolismo , Agua de Mar/química , Solubilidad
17.
World J Pediatr ; 15(6): 624-625, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31446569

RESUMEN

In the original publication of the article, "Hainan province" in Fig 1 was missed out. The corrected Fig. 1 is given below.

18.
Nanoscale ; 11(18): 8950-8958, 2019 May 09.
Artículo en Inglés | MEDLINE | ID: mdl-31017164

RESUMEN

Control of the active sites/centers plays an important role in the design of novel electrode materials with unusual properties and achievement of sensors with high performance. In this study, three-dimensional (3D) freestanding multi-doped hollow carbon spheres (N-Co-Fe-HCS) with a layer thickness of 30 nm, which contained multiple active sites of the heteroatom N and transition metals (Co and Fe), were synthesized via a simple template method (with SiO2 as the template) and cost-efficient in situ self-polymerization, self-adsorption/reduction and carbonization strategies. Moreover, a series of hollow carbon sphere composites of the same family (N-HCS, N-Co-HCS and N-Fe-HCS) were prepared by this sensible process using the same method and precursors but different doping elements. These differences lead to different active sites/centers from hollow carbon spheres and improved electrocatalytic activities for dihydroxybenzene isomers. Furthermore, N-Co-Fe-HCS as an electrochemical sensor exhibited excellent simultaneous qualitative and quantitative determination performance for catechol (CC) and hydroquinone (HQ). The detection limit and the linear range were 75 nmol L-1 and 0.5-500 µmol L-1 for CC and 80 nmol L-1 and 0.5-1500 µmol L-1 for HQ, respectively. The interference from the components coexisting in river water on the detection of CC and HQ was not observed. These results indicate that high-performance electrochemical sensors can be constructed by in situ multi-element doping into electrode materials to achieve multi-active sites.

19.
World J Pediatr ; 15(2): 190-197, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30796730

RESUMEN

BACKGROUND: Human milk banks (HMB) have been established for over 100 years in North America and Europe. This study aimed to describe and summarize the operation and characteristics of the HMBs in mainland China since the first nonprofit HMB operated in 2013. METHODS: Operation of HMB in mainland China is based on the standards and guidelines of the Human Milk Banking Association of North America and some countries in Europe and was modified to meet the needs and circumstances in China such as donation only in the local HMB by medical staff. We reviewed the descriptive data of these 14 HMBs and the clinical characteristics of recipients, the eligible milk donors and the donor milk retrospectively. RESULTS: In mainland China, from March 2013 to December 2016, 14 nonprofit HMBs were developed and operational in public hospitals except one and located in the south, east, north and northwest of mainland China. In total, 2680 eligible donors donated 4608.2 L of breast milk. The mean age of these donors was 29.4 years with 60.6% receiving college education and 90.6% term delivery. A total of 4678 recipients including preterm infants (n = 2990, 63.9%), feeding intolerance (n = 711, 15.2%), maternal illness (n = 345, 7.4%), serious infection (n = 314, 6.7%), necrotising enterocolitis (n = 244, 5.2%), post-surgery (n = 38, 0.8%) and others (n = 36, 0.8%). The rate of discarded raw milk was only 4.4% because of hepatitis B and C or cytomegalovirus positivity. CONCLUSIONS: HMB has been developing rapidly in mainland China. Donor human milk was used not only for preterm infants but also for other ill children. But the sustainability of milk banking needs proper management and more financial support by relative health authorities and the government.


Asunto(s)
Guías como Asunto/normas , Edad Materna , Salud Materna , Bancos de Leche Humana/normas , Leche Humana , Adulto , China , Femenino , Edad Gestacional , Humanos , Lactante , Recién Nacido , Bancos de Leche Humana/organización & administración , Embarazo , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , Estudios Retrospectivos , Adulto Joven
20.
Medicine (Baltimore) ; 98(3): e14126, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30653142

RESUMEN

BACKGROUND: Preoperative neutrophil-to-lymphocyte ratio (NLR) has been suggested as a useful predictive factor for prognosis in patients with various cancers. However, the prognostic value of NLR in patients with colorectal cancer (CRC) remains controversial. Therefore, the goal of this study was to perform a meta-analysis to evaluate the prognostic value of NLR in patients with CRC undergoing curative surgery. METHODS: PubMed, EMBASE and Cochrane Library databases were searched to screen the relevant studies. Pooled hazard ratio (HR) with 95% confidence interval (CI) was used to assess the associations of preoperative NLR and overall survival (OS), disease-free survival (DFS), recurrence free survival (RFS) and disease specific survival (DSS) by STATA 13.0 software. RESULTS: Sixteen studies involving 5897 patients were included in our meta-analysis. Our pooled results demonstrated that high NLR was associated with poor OS (HR: 1.66, 95%CI: 1.36-2.02, P < .001), DFS (HR = 1.54, 95%CI: 1.18-2.02, P = .002), RFS (HR = 2.31, 95%CI: 1.68-3.17, P < .001) and DSS (HR = 2.27; 95% CI: 1.75-2.96, P < .001). When the patients were stratified according to country, sample size, NLR cut-off, follow up and postoperative chemotherapy, high NLR was still significantly correlated with OS. The limitation was that the majority of enrolled studies were retrospective. CONCLUSION: Preoperative NLR may be an effective predictive biomarker for prognosis in patients with CRC. Detection of NLR may be beneficial to identify the high-risk patients who need other antitumor therapies in addition to surgery.


Asunto(s)
Neoplasias Colorrectales/sangre , Linfocitos , Neutrófilos , Anciano , Biomarcadores de Tumor/sangre , Colectomía , Neoplasias Colorrectales/mortalidad , Neoplasias Colorrectales/cirugía , Supervivencia sin Enfermedad , Femenino , Humanos , Recuento de Leucocitos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Periodo Preoperatorio , Pronóstico , Modelos de Riesgos Proporcionales , Estudios Retrospectivos
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