To compare the effect of ultrasound (US)-guided dry needling (DN) with traditional DN in the treatment of pain and dysfunction for patients with knee osteoarthritis (KOA). A double-blind, randomized ...controlled trial. Eighty-four participants (61.26±5.57 years) completed the study. G1 achieved significant improvement in VAS at 8 weeks compared to G2 and G3 (G1 vs. G2: MD = -15.61, 95% CI -25.49, -5.51, p = 0.001; G1 vs. G3: MD = -19.90, 95% CI -29.71, -10.08, p< 0.001). G1 achieved significant improvement in KOOS-pain at 8 weeks compared to G2 and G3 (G1 vs. G2: MD = 9.76, 95% CI 2.38, 17.14, p = 0.006; G1 vs. G3: MD = 9.48, 95% CI 2.31, 16.66, p = 0.010). KOOS-symptoms and KOOS-QoL were not statistically significant between groups. G2 had no significant difference of the perceptions as G1 with p = 0.128. G2 were successfully blinded to placebo US-guided DN. US-guided DN with exercise therapy may be more effective than traditional DN with exercise therapy or exercise therapy alone in reduce pain of KOA.
Numerical studies indicate that interactions between ocean internal gravity waves (especially those <100 km) and geostrophic (or balanced) motions associated with mesoscale eddy turbulence (involving ...eddies of 100–300 km) impact the ocean's kinetic energy budget and therefore its circulation. Results from these studies have never been confirmed by observations in regional or basin‐scale domains. Here we show that internal gravity waves have a spectral signature on sea surface height during summer that significantly differs from that of balanced motions. These spectral differences lead us to propose a new dynamical framework that quantifies the interactions between internal gravity waves and balanced motions in physical space from sea surface height snapshots, and in particular the energy exchanges between them. Our results, using this dynamical framework, highlight the strong potential of future satellite altimeter missions to make critical advances in assessing the ocean's kinetic energy budget from observations in large domains.
Key Points
We exploit spectral characteristics of sea surface height (SSH) to partition ocean motions into balanced motions and internal gravity waves
We use a simple shallow‐water model to diagnose internal gravity wave motions from SSH
We test a dynamical framework to recover the interactions between internal gravity waves and balanced motions from SSH
Summary
Despite being the fastest growing sector, the modern aquaculture industry faces serious challenges such as the lack of protein source in feed, the susceptibility to pathogens, and ...deterioration in quality during culture and storage. Bacterial biomass is considered as a proper protein source for feed, and the beneficial bacterial species protect aquatic animals from infection or reduce spoilage of products. In this review, we summarized the application of beneficial bacteria to aquatic products, focusing mainly on the nutritional, anti‐pathogenic, anti‐spoilage and immunoregulatory functions of these bacteria. We then discussed the relationship between beneficial bacteria, intestinal microbiota and host immunity, and the recent progress and drawbacks of the technology.
Abstract
Topological superconductors (TSCs) are unconventional superconductors with bulk superconducting gap and in-gap Majorana states on the boundary that may be used as topological qubits for ...quantum computation. Despite their importance in both fundamental research and applications, natural TSCs are very rare. Here, combining state of the art synchrotron and laser-based angle-resolved photoemission spectroscopy, we investigated a stoichiometric transition metal dichalcogenide (TMD), 2M-WS
2
with a superconducting transition temperature of 8.8 K (the highest among all TMDs in the natural form up to date) and observed distinctive topological surface states (TSSs). Furthermore, in the superconducting state, we found that the TSSs acquired a nodeless superconducting gap with similar magnitude as that of the bulk states. These discoveries not only evidence 2M-WS
2
as an intrinsic TSC without the need of sensitive composition tuning or sophisticated heterostructures fabrication, but also provide an ideal platform for device applications thanks to its van der Waals layered structure.
High rotational speed friction stir welding (FSW) was successfully employed to weld 6061-T6 aluminum alloy thin plates. The effect of high rotational speed and fast transverse speed on temperature ...distribution, microstructure evolution, and tensile properties of friction stir welded 6061-T6 joints was investigated in detail. The high rotational speed with fast transverse speed had a significant influence on the peak temperature in the nugget zone (NZ). Increasing the rotational speed and decreasing the transverse speed could obviously improve the peak temperature in the NZ, but exhibit little effect on the heat-affected zone under high rotational speed FSW. The NZ was characterized as a significant refinement of the equiaxed grain. The number of precipitates, subgrains, and low angle grain boundaries in the NZ of high rotational speed FSW joint increased significantly due to moderate heat input and strain rate. The weld zone was seriously softened at low rotational speed, whereas it was alleviated at high rotational speed and was affected slightly by rotational speed and transverse speed. The excellent mechanical properties of the friction stir welded 6061-T6 joints were obtained at a combination of high rotational speed and fast transverse speed. The maximum tensile strength reached 301.8 MPa, 85.8% of the base material.
The unique immunomodulatory properties of mesenchymal stem cells (MSCs) make them an invaluable cell type for the repair of tissue/ organ damage caused by chronic inflammation or autoimmune ...disorders. Although they hold great promise in the treatment of immune disorders such as graft versus host disease (GvHD) and allergic disorders, there remain many challenges to overcome before their widespread clinical application. An understanding of the biological properties of MSCs will clarify the mechanisms of MSC-based transplantation for immunomodulation. In this review, we summarize the preclinical and clinical studies of MSCs from different adult tissues, discuss the current hurdles to their use and propose the future development of pluripotent stem cell-derived MSCs as an approach to immunomodulation therapy.
ABSTRACT
In this article we introduce the concept of inverse probability of treatment weighting (IPTW) and describe how this method can be applied to adjust for measured confounding in observational ...research, illustrated by a clinical example from nephrology. IPTW involves two main steps. First, the probability—or propensity—of being exposed to the risk factor or intervention of interest is calculated, given an individual’s characteristics (i.e. propensity score). Second, weights are calculated as the inverse of the propensity score. The application of these weights to the study population creates a pseudopopulation in which confounders are equally distributed across exposed and unexposed groups. We also elaborate on how weighting can be applied in longitudinal studies to deal with informative censoring and time-dependent confounding in the setting of treatment-confounder feedback.
SIRT4 is well-known for its deacetylase activity in energy metabolism, but little is known about its roles in carcinogenesis. We demonstrated that SIRT4 was decreased in 70 out of 133 non-small cell ...lung cancer (NSCLC) cases by immunohistochemical staining and localized in the mitochondria using confocal microscopy. Low levels of SIRT4 expression was correlated with tumor node metastasis (TNM) stage, histological type of tumor (adenocarcinoma), lymph nodal status, Ki-67 (proliferation index) and poor overall survival. We also studied the biological role of SIRT4 in lung cancer cell lines transfected with SIRT4 plasmid or SIRT4-siRNA. SIRT4 inhibited lung cancer cell proliferation, blocked the cell cycle and repressed cell invasion and migration. Mitochondrial dynamics has been implicated in malignant properties of cells, particularly metastasis that is the major cause of death in patients diagnosed with cancer including lung cancer. This is the first study to identify an association between SIRT4 expression and decreased mitochondrial fission, which was driven by Drp1. SIRT4 inhibited Drp1 phosphorylation and weakened Drp1 recruitment to the mitochondrial membrane via an interaction with Fis-1. SIRT4 expression was lower in nodal metastatic tumor samples than their corresponding primary tumors, and cases with low expression of SIRT4 tended to have high p-Drp1 labeling. Also, MEK/ERK activity appeared to be hampered by SIRT4 expression, which may have implications for cells' invasive capacities. In conclusion, our findings suggest that SIRT4 functions as an important antitumor protein in NSCLC, and should be investigated further with respect to future anticancer strategies.
Aims
To describe patterns of primary and diabetes care during transition age (17 to < 19 years) into early adulthood (age 19 to 26 years), and to evaluate the association of primary and diabetes care ...patterns during transition age with the risk of adverse events in early adulthood.
Methods
We conducted a population‐based cohort study of individuals in Ontario, Canada who were diagnosed with diabetes aged < 15 years and who turned 17 between November 2006 and March 2011, followed until March 2015 (n = 2525). Using linked administrative databases, we examined healthcare use during: ‘pre‐transition‐age’ (15 to < 17 years), ‘transition‐age’ (17 to < 19 years), and ‘early adulthood’ (19 to 26 years). The main outcomes were time to death or ketoacidosis and rate of diabetes‐related admissions. The main exposures were the gap in diabetes care and primary care visits during transition age.
Results
There were < 6 deaths and 446 individuals (17.7%) had at least one admission for ketoacidosis during early adulthood. In all, 1188 individuals (47.0%) had a > 12‐month gap in diabetes care and 241 (9.5%) had no primary care visits during transition age. A gap in diabetes care of > 12 months and no primary care visits during transition age were associated with an increased risk of ketoacidosis or death (adjusted hazard ratio 1.31, 95% CI 1.04–1.66 and adjusted hazard ratio 1.42, 95% CI 1.02–1.97, respectively).
Conclusions
In Ontario, Canada, where physician and hospital‐based services are universally covered, a high proportion of young adults with diabetes have insufficient care during transition age and this is associated with a higher risk of important adverse outcomes in early adulthood. Ensuring primary care involvement during transition may be a strategy to reduce morbidity.
What's new?
This is the first population‐based study of the relationship between patterns of primary and diabetes care during transition and adverse events in early adulthood.
The patterns of care during transition age that we observed showed deficiencies in both diabetes and primary care.
A gap in diabetes care of > 12 months and lack of primary care visits during transition age are markers for worse outcomes in early adulthood.
Further work is needed to determine the optimal way to integrate primary care into transition processes.
PDF
