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Fibrinogen has been implicated to play a role in the pathophysiology of obstructive sleep apnea (OSA). Many studies have evaluated the effect of continuous positive airway pressure (CPAP) on plasma fibrinogen levels in OSA patients. However, results from different reports were not consistent. To assess the effect of CPAP treatment on plasma fibrinogen levels of patients with OSA, a meta-analysis was performed.
A systematic search of Pubmed, Embase, Cochrane, Wanfang Database and Chinese National Knowledge Infrastructure was performed. Data were extracted, and then weighted mean difference (WMD) and 95% confidence intervals (CIs) were calculated using a random-effects model.
Twenty-two studies involving 859 patients were included in this meta-analysis. Combined data showed that plasma fibrinogen concentrations decreased after CPAP therapy (WMD = -0.38 g/l, 95% CI [-0.54 to -0.22 g/l], P<0.001). In the subgroup analyses by therapy duration, plasma fibrinogen concentrations declined significantly in the long-term (≥1 month) CPAP therapy subgroup (WMD = -0.33 g/l, 95% CI [-0.49 to -0.16 g/l], P<0.001) but not in the short-term (<1 month) CPAP therapy subgroup (WMD = -0.84 g/l, 95% CI [-1.70 to 0.03 g/l], P=0.058). Moreover, in patients with long-term CPAP therapy duration, plasma fibrinogen levels decreased with good CPAP compliance (≥4 h/night) (WMD = -0.37 g/l, 95% CI [-0.55 to -0.19 g/l], P<0.001) but not with poor CPAP compliance (<4 h/night) (WMD = 0.12 g/l, 95% CI [-0.09 to 0.33 g/l], P=0.247).
Long-term CPAP treatment with good compliance can reduce the plasma fibrinogen levels in patients with OSA.
Long-term CPAP treatment with good compliance can reduce the plasma fibrinogen levels in patients with OSA.Advising athletes with asymptomatic cervical canal stenosis on their return to active play is a topic of considerable debate, with no definitive guidelines in place. Once cervical canal stenosis is identified, often through imaging following other injuries, it is difficult to predict the risk of future injury upon return to play in both contact and collision sports. Consequently, the decision can be a complicated one for the athlete, family, and physician alike. In this article, we identify radiographical and magnetic resonance imaging (MRI)-based criteria that may distinguish athletes "at-risk" for more severe consequences due to asymptomatic cervical canal stenosis from those who are safe to return to play. Using a Torg-Pavlov ratio 0.8, or space available for the cord less then 1.2 mm, can help when making these difficult decisions. Counseling can be a critical asset to patients with cervical stenosis who have had a previous episode of cervical cord neuropraxia, especially when they are involved in high-risk sports such as American football and rugby. We believe that while this remains an area of continued concern and controversy, improved MRI criteria will be a useful springboard for further studies, especially in the elite athlete population.A variety of Bi3+-activated and Bi3+-Eu3+ codoped Y3GaO6 phosphor samples were obtained by solid-state reaction. The phase purity and crystal structure of the specimens were characterized via powder X-ray diffraction (XRD) analysis and Rietveld refinement. For the single Bi3+-doped Y3GaO6 phosphor, two different PL peaks at 410 and 595 nm were obtained, resulting from the two different Bi3+ sites occupied. The site occupation is driven by Bi3+ ion concentration. There is an energy transfer from the Bi3+ to Eu3+ ions in the YGOBi3+,Eu3+ phosphors. Besides, the energy transfer mechanism, efficiencies, quantum efficiency and thermal stability have been discussed in detail, demonstrating that the sample possesses high quantum efficiency and good thermal stability. The high color-rendering index Ra (92.9, and 81.6) and low CCT (3286 K, and 3904 K) of the white light-emitting diodes (WLEDs) clearly indicate that these samples are promising candidates for WLEDs.The electrochemical reduction of nitrogen (N2) to ammonia (NH3) has attracted attention as an emerging alternative to the traditional Haber-Bosch process to synthesize NH3. Unfortunately, electrocatalytic N2 reduction processes are still very inefficient. Here we report three-dimensional nanoporous gold (NPG) as an efficient and stable electrocatalyst for the N2 reduction reaction at room temperature and atmospheric pressure. NPG can deliver a high NH3 yield rate of 45.7 μg h-1 mg-1cat. and a high faradaic efficiency of 3.41% at an ultralow potential of -0.10 V versus the reversible hydrogen electrode, in 0.1 M HCl solution. These values are much higher than those obtained for most of the reported electrocatalysts under similar experimental conditions. Structural characterization and density functional theory calculations reveal that the excellent electrocatalytic activity of NPG mainly results from the high density of geometrically required surface steps and kinks.In vitro cell culture is commonly applied in laboratories around the world. Tofacitinib JAK inhibitor Cultured cells are either of primary origin or established cell lines. Such transformed cell lines are increasingly replaced by pluripotent stem cell derived organotypic cells with more physiological properties. The quality of the culture conditions and matrix environment is of considerable importance in this regard. In fact, mechanical cues of the extracellular matrix have substantial effects on the cellular physiology. This is especially true if contractile cells such as cardiomyocytes are cultured. Therefore, elastic biomaterials have been introduced as scaffolds in 2D and 3D culture models for different cell types, cardiac cells among them. In this review, key aspects of cell-matrix interaction are highlighted with focus on cardiomyocytes and chemical properties as well as strengths and potential pitfalls in using two commonly applied polymers for soft matrix engineering, polyacrylamide (PAA) and polydimethylsiloxane (PDMS) are discussed.We present a method for using dynamic light scattering in the single-scattering limit to measure the viscoelastic moduli of soft materials. This microrheology technique only requires a small sample volume of 12 μL to measure up to six decades in time of rheological behavior. We demonstrate the use of dynamic light scattering microrheology (DLSμR) on a variety of soft materials, including dilute polymer solutions, covalently-crosslinked polymer gels, and active, biological fluids. In this work, we detail the procedure for applying the technique to new materials and discuss the critical considerations for implementing the technique, including a custom analysis script for analyzing data output. We focus on the advantages of applying DLSμR to biologically relevant materials breast cancer cells encapsulated in a collagen gel and cystic fibrosis sputum. DLSμR is an easy, efficient, and economical rheological technique that can guide the design of new polymeric materials and facilitate the understanding of the underlying physics governing behavior of naturally derived materials.
Homepage: https://www.selleckchem.com/products/CP-690550.html
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