| 1. |
- Zecheng, Li, et al.
(författare)
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Fecal microbiota transplantation in obesity metabolism : A meta analysis and systematic review
- 2023
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Ingår i: Diabetes Research and Clinical Practice. - 0168-8227. ; 202
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Forskningsöversikt (refereegranskat)abstract
- Objective: The effect of fecal microbiota transplantation (FMT) on microbiota engraftment in patients with metabolic syndrome remains unclear. This systematic review employed a meta-analysis of RCTs for assessment on the role of FMT in treating obesity and metabolic syndrome, and its impact on clinically relevant parameters. Method: Major databases and grey literatures were searched identifying RCTs comparing FMT of lean donors with placebo in obese/metabolic syndrome patients. Studies using any form of placebo were included. Variations in the parameters before and after treatment were calculated followed by meta-analyses. Result: Ten studies met the inclusion criteria and a total of 334 patients were included for further analysis. Clinically significant parameters associated with obesity and metabolic syndrome were explored and FMT was identified significantly and negatively associated with most indices of abdominal adiposity including caloric intake, fasting glucose, HOMA-IR, systolic blood pressure, diastolic blood pressure, total cholesterol, HDL, LDL, triglycerides and CRP, Obesity parameters including fasting glucose and acetic acid were increased following FMT. Conclusion: FMT is more advantageous for obese patients with elevated blood pressure, disordered glucose and insulin metabolism, and elevated blood lipids. The study of metabolic factors in obese patients will be our starting point in the future.
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| 2. |
- Liang, Jiawei, et al.
(författare)
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Performance and microbial communities of a novel integrated industrial-scale pulp and paper wastewater treatment plant
- 2021
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Ingår i: Journal of Cleaner Production. - : Elsevier BV. - 0959-6526. ; 278
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Tidskriftsartikel (refereegranskat)abstract
- Ltd Paper production generates pulp and paper wastewater (PPW), and it is difficult to remove the high-level pollutants in PPW efficiently. Herein, an efficient industrial-scale pulp and paper wastewater treatment plant (PP-WWTP) that integrated physicochemical and biological processes is investigated and reported. This PP-WWTP treated 2.3 Mt of wastewater with 17,388 ± 1436 mg/L chemical oxygen demand (COD) annually. The PP-WWTP can effectively remove over 99.81% of the COD. In detail, the physical, anaerobic, aerobic and chemical steps accounted for 41.6%, 40.0%, 11.9%, and 6.5% of COD removal, respectively. The microbial communities of the bioreactors removed the pollutants efficiently and contained diverse microbes. Further metagenomic analyses of the bioreactors identified more than 90,000 genes/gene fragments encoding for carbohydrate-active enzymes (CAZys), demonstrating high lignocellulose degradation ability of the bioreactors at molecular level. The xylanase activity assay showed some lignocellulase in the bioreactors were functional. Recycling the residual heat from the PPW along with energy recovered from biological treatment of the PPW, in the form of biogas (20,000 m³/d), could generate more than 1.5 M USD benefits/y. The results of this study demonstrated that the integrated physicochemical and biological process for PPWW treatment could effectively remove pollutants while generating revenue.
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| 3. |
- Salvo, Gloria, et al.
(författare)
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Open vs minimally invasive radical trachelectomy in early-stage cervical cancer : International Radical Trachelectomy Assessment Study
- 2022
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Ingår i: American Journal of Obstetrics and Gynecology. - : Elsevier BV. - 0002-9378 .- 1097-6868. ; 226:1, s. 1-97
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Tidskriftsartikel (refereegranskat)abstract
- Background: Minimally invasive radical trachelectomy has emerged as an alternative to open radical hysterectomy for patients with early-stage cervical cancer desiring future fertility. Recent data suggest worse oncologic outcomes after minimally invasive radical hysterectomy than after open radical hysterectomy in stage I cervical cancer. Objective: We aimed to compare 4.5-year disease-free survival after open vs minimally invasive radical trachelectomy. Study Design: This was a collaborative, international retrospective study (International Radical Trachelectomy Assessment Study) of patients treated during 2005–2017 at 18 centers in 12 countries. Eligible patients had squamous carcinoma, adenocarcinoma, or adenosquamous carcinoma; had a preoperative tumor size of ≤2 cm; and underwent open or minimally invasive (robotic or laparoscopic) radical trachelectomy with nodal assessment (pelvic lymphadenectomy and/or sentinel lymph node biopsy). The exclusion criteria included neoadjuvant chemotherapy or preoperative pelvic radiotherapy, previous lymphadenectomy or pelvic retroperitoneal surgery, pregnancy, stage IA1 disease with lymphovascular space invasion, aborted trachelectomy (conversion to radical hysterectomy), or vaginal approach. Surgical approach, indication, and adjuvant therapy regimen were at the discretion of the treating institution. A total of 715 patients were entered into the study database. However, 69 patients were excluded, leaving 646 in the analysis. Endpoints were the 4.5-year disease-free survival rate (primary), 4.5-year overall survival rate (secondary), and recurrence rate (secondary). Kaplan-Meier methods were used to estimate disease-free survival and overall survival. A post hoc weighted analysis was performed, comparing the recurrence rates between surgical approaches, with open surgery being considered as standard and minimally invasive surgery as experimental. Results: Of 646 patients, 358 underwent open surgery, and 288 underwent minimally invasive surgery. The median (range) patient age was 32 (20–42) years for open surgery vs 31 (18–45) years for minimally invasive surgery (P=.11). Median (range) pathologic tumor size was 15 (0–31) mm for open surgery and 12 (0.8–40) mm for minimally invasive surgery (P=.33). The rates of pelvic nodal involvement were 5.3% (19 of 358 patients) for open surgery and 4.9% (14 of 288 patients) for minimally invasive surgery (P=.81). Median (range) follow-up time was 5.5 (0.20–16.70) years for open surgery and 3.1 years (0.02–11.10) years for minimally invasive surgery (P<.001). At 4.5 years, 17 of 358 patients (4.7%) with open surgery and 18 of 288 patients (6.2%) with minimally invasive surgery had recurrence (P=.40). The 4.5-year disease-free survival rates were 94.3% (95% confidence interval, 91.6–97.0) for open surgery and 91.5% (95% confidence interval, 87.6–95.6) for minimally invasive surgery (log-rank P=.37). Post hoc propensity score analysis of recurrence risk showed no difference between surgical approaches (P=.42). At 4.5 years, there were 6 disease-related deaths (open surgery, 3; minimally invasive surgery, 3) (log-rank P=.49). The 4.5-year overall survival rates were 99.2% (95% confidence interval, 97.6–99.7) for open surgery and 99.0% (95% confidence interval, 79.0–99.8) for minimally invasive surgery. Conclusion: The 4.5-year disease-free survival rates did not differ between open radical trachelectomy and minimally invasive radical trachelectomy. However, recurrence rates in each group were low. Ongoing prospective studies of conservative management of early-stage cervical cancer may help guide future management.
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| 4. |
- Yue, Xiaoqi, et al.
(författare)
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Uncoupling chloride and acidification attack on the naturally formed corrosion scales
- 2022
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Ingår i: Corrosion Science. - : Elsevier BV. - 0010-938X .- 1879-0496. ; 199
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Tidskriftsartikel (refereegranskat)abstract
- A combination of an in-situ microzone injection test and ab-initio DFT calculations was employed to investigate the effect of H+ and Cl- ions on the degradation of the FeCO3 corrosion products. The experimental results show that an acidic environment promoted the dissolution kinetics of the FeCO3 scales while the presence of Cl- ions induced FeCO3 surface reconstruction. The DFT calculations validate the experimental results and indicate that both H+ and Cl- corroded FeCO3 surface through weakening of the Fe-O bond and increased the corrosion active sites.
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