77 research outputs found

    Exercise training modalities in prediabetes: a systematic review and network meta-analysis

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    BackgroundLifestyle modification based on exercise intervention is still the primary way to delay or reverse the development of diabetes in patients with prediabetes. However, there are still challenges in setting up a detailed exercise prescription for people with prediabetes. This study mainly ranks exercise prescriptions by comparing the improvement of glucose and lipid metabolism and the level of weight loss in patients.MethodAll studies on exercise intervention in prediabetes were identified by searching five electronic databases. Risk assessment and meta-analysis were performed on eligible studies.ResultsTwenty-four studies involving 1946 patients with prediabetes and seven exercise intervention models were included in the final analysis. The meta-analysis showed that exercise of any type was more effective for glycemic control in prediabetes than no exercise. However, the changes in blood glucose were moderate. In prediabetes, combining moderate-intensity aerobic exercise with low-to moderate-load resistance training showed the most significant improvements in glycosylated hemoglobin (HbA1c), body mass index (BMI), body weight (BW), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL) (P-score=0.82; 0.70; 0.87; 1; 0.99), low-to moderate-load resistance training showed the most significant improvements in fasting blood glucose (FBG) (P-score=0.98), the vigorous-intensity aerobic exercise showed the most significant improvements in 2-hour post-meal blood glucose (2hPG) and systolic blood pressure (SBP) (P-score=0.79; 0.78), and moderate-intensity aerobic exercise showed the most significant improvements in diastolic blood pressure (DBP) (P-score=0.78).ConclusionIn summary, moderate-intensity aerobic exercise, low-to moderate-load resistance training and the combination of both have beneficial effects on glycemic control, weight loss, and cardiovascular health in patients with prediabetes. These findings provide valuable guidance for rehabilitation clinicians and patients alike to follow.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier CRD 42021284922

    Effect of Paeonol on Antioxidant and Immune Regulatory Activity in Hepatocellular Carcinoma Rats

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    The study investigated the immunity and antioxidant potential of paeonol by employing a hepatocellular carcinoma (HCC) rat model. Three doses of paeonol (20, 40, 60 mg/kg b.w. orally) were administrated to diethylnitrosamine (DEN)-induced HCC rats. Results showed that paeonol significantly reduced the serum AST, ALT, ALP, GGT, AFU and liver MDA levels, increased serum WBC, TP, ALB, A/G, TNF-α and IFN-γ and liver antioxidant enzymes activities (SOD, CAT, GSH-Px, GR) in HCC rats. Altogether, these results suggest that the paeonol could effectively decrease oxidative injury and improve immunity function in HCC rats

    Specific risk factors contributing to early and late recurrences of intrahepatic cholangiocarcinoma after curative resection

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    Abstract Background Most intrahepatic cholangiocarcinoma (ICC) patients experienced tumor recurrences even after curative resection, but the optimal cut-off time point and the specific risk factors for early and late recurrences of ICC have not been clearly defined. The objective of the current study was to define specific risk factors for early and late recurrences of ICC after radical hepatectomy. Methods Included in this study were 259 ICC patients who underwent curative surgery at our hospital between January 2005 and December 2009. Recurrences in these patients were followed-up prospectively. Piecewise regression model and the minimum P value approach were used to estimate the optimal cut-off time point for early and late recurrences. Then, Cox’s proportional hazards regression model was used to identify specific independent risk factors for early and late recurrences. Results Early and late recurrences occurred in 130 and 74 patients, respectively, and the 12th month was confirmed as the optimal cut-off time point for early and late recurrences. Cox’s proportional hazards regression model showed that microvascular invasion (HR = 2.084, 95% CI 1.115–3.897, P = 0.021), multiple tumors (HR = 2.071, 95% CI 1.185–3.616, P = 0.010), abnormal elevation of serum CA19-9 (HR = 1.619, 95% CI 1.076–2.437, P = 0.021), and the negative hepatitis B status (HR = 1.650, 95% CI 1.123–2.427, P = 0.011) were independent risk factors for early recurrence, and HBV-DNA level > 106 IU/mL (HR = 1.785, 95% CI 1.015–3.141, P = 0.044) and a hepatolithiasis history (HR = 2.538, 95% CI 1.165–5.533, P = 0.010) contributed to late recurrence independently. Conclusion Specific risk factors and mechanisms may relate to early and late recurrences of ICC after curative resection

    Influences of Predator Cues on the Incidence of Ungulates, Mesopredators and Top Predators in the Greater Khingan Mountains, Northeastern China

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    Top predators can affect the behaviour of prey species via lethal (direct kill) or non-lethal effects (i.e., through predation risk). For example, prey species may move from areas perceived as risky to safer spaces where predation risk is lower, which can have important consequences for investment in foraging, movement, and mating, and for the behaviour and habitat use of other species, such as mesopredators. These changes in prey and mesopredator behaviours are likely mediated by the presence of predator cues in the environment. Here, we test how different predator cues (visual and odor) from familiar and novel predators (brown bear and Amur tiger, respectively) influence ungulate, mesopredator, and top predator visitation rates to camera trap sites in a national nature reserve in China. The comparison of these predator types is of particular interest in this region as Amur tigers may shortly be reintroduced here. We found that visual but not odour cues significantly affected ungulate visitation rates: ungulates showed reduced visitation to sites with either a novel or familiar visual predator cue. When combined, mesopredators and top predators also showed a small reduction in visitation rates to tiger cue sites compared to bear cue sites, suggesting a possible novel predator effect. The generalisation and contextual importance of predator cues for prey and mesopredators have been little studied. Understanding how species respond to novel cues may help to determine extinction probabilities and overall plasticity in the face of change. This study is, therefore, an important step forward in understanding predator cue responses at the community level. This is also the first study to test the ecological function of Amur tiger cues in the wild environment and may serve as essential information in the rewilding process of captive Amur tiger plans

    Design of Chitosan-Grafted Carbon Nanotubes: Evaluation of How the –OH Functional Group Affects Cs+ Adsorption

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    In order to explore the effect of –OH functional groups in Cs+ adsorption, we herein used the low temperature plasma-induced grafting method to graft chitosan onto carbon nanotubes (denoted as CTS-g-CNTs), as raw-CNTs have few functional groups and chitosan has a large number of –OH functional groups. The synthesized CTS-g-CNT composites were characterized using different techniques. The effect of –OH functional groups in the Cs+ adsorption process was evaluated by comparison of the adsorption properties of raw-CNTs with and without grafting chitosan. The variation of environmental conditions such as pH and contact time was investigated. A comparison of contaminated seawater and simulated groundwater was also evaluated. The results indicated that: (1) the adsorption of Cs+ ions was strongly dependent on pH and the competitive cations; (2) for CNT-based material, the –OH functional groups have a positive effect on Cs+ removal; (3) simulated contaminated groundwater can be used to model contaminated seawater to evaluate the adsorption property of CNTs-based material. These results showed direct observational evidence on the effect of –OH functional groups for Cs+ adsorption. Our findings are important in providing future directions to design and to choose effective material to remedy the removal of radioactive cesium from contaminated groundwater and seawater, crucial for public health and the human social environment

    Effects of Inter- and Intra-Specific Interactions on Moose Habitat Selection Limited by Temperature

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    Habitat selection and daily activity patterns of large herbivores might be affected by inter- and intra-specific interaction, changes of spatial scale, and seasonal temperature. To reveal what factors were driving the habitat selection of moose, we collected moose (Alces alces) and roe deer (Capreolus pygargus bedfordi) occurrence data, analyzed the multi-scale habitat selection and daily activity patterns of moose, and quantified the effects of spatial heterogeneity distribution of temperature, as well as the occurrence of roe deer on these habitat selection processes. Our results suggested that moose and roe deer distribution spatially overlap and that moose habitat selection is especially sensitive to landscape variables at large scales. We also found that the activity patterns of both sexes of moose had a degree of temporal separation with roe deer. In the snow-free season, temperatures drove moose habitat selection to be limited by threshold temperatures of 17 °C; in the snowy season, there were no similar temperature driving patterns, due to the severe cold environment. The daily activity patterns of moose showed seasonal change, and were more active at dawn and nightfall to avoid heat pressure during the snow-free season, but more active in the daytime for cold adaptation to the snow season. Consequently, this study provides new insights on how the comprehensive effects of environmental change and inter- and intra- specific relationships influence the habitat selection and daily activity patterns of moose and other heat sensitive animals with global warming
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