Intensity

强度
  • 文章类型: Journal Article
    帕金森氏症导致无法执行先前学习的自主神经任务,比如走路,随着疾病进展而恶化。已经建立了对该人群进行中等强度到高强度运动的建议,但是关于其对临床结果的影响的知识有限。这项研究的目的是调查为期6周的强度驱动步行计划对PD患者临床结局的有效性。
    招募5名患有PD的个体进行这项单受试者戒断设计(A-B-A-B)研究。收集6分钟步行表现和步态的其他核心神经测量。干预阶段包括30分钟的个性化强度驱动的跑步机步行程序,该程序以最大心率的65%或更多进行。增加跑步机速度,倾斜,并操纵阻力以达到目标心率区。
    条件视觉分析中的6分钟步行测试表明,所有5名个体在干预阶段出现治疗变化,在退出阶段出现反治疗变化。在非重叠数据的百分比范围为70-90%的情况下,对所有个体都证明了突然的治疗效果。带法分析显示,所有个体的9-19个疗程比基线平均表现高出两个标准偏差。
    要获得足够的步行性能,在较高强度水平下进行的步态可以提供最佳解决方案,作为想要改善行走的PD患者的标准护理的辅助手段。
    帕金森病导致无法执行以前学习的自主神经任务,比如走路,随着疾病进展而恶化。建议在较高强度下进行运动以改善神经学人群的基于临床的结果。更高强度水平的步行练习可以提供改善帕金森病患者步态耐力的解决方案。
    UNASSIGNED: Parkinson\'s disease creates an inability to perform previous learned autonomic tasks, such as walking, which worsens with disease progression. Recommendations to incorporate exercise at moderate to high intensities for this population has been established but there is limited knowledge about its impact on clinical based outcomes. The purpose of this research is to investigate the effectiveness of a 6-week intensity-driven walking program on clinical-based outcomes in individuals with PD.
    UNASSIGNED: Five individuals with PD were recruited for this single-subject withdrawal design (A-B-A-B) study. 6-minute walk performance and other core neurological measures of gait were collected. Intervention phases incorporated a 30-minute individualized intensity-driven treadmill walking program practiced at 65% or more of ones maximum heart rate. Increased treadmill speed, incline, and resistance were manipulated to reach the target heart rate zone.
    UNASSIGNED: 6-minute walk test within condition visual analysis demonstrated a therapeutic change during intervention phases and a countertherapeutic change during withdraw periods for all 5 individuals. An abrupt therapeutic effect was demonstrated for all individuals between conditions with the percent of nonoverlapping data ranging from 70-90%. Band method analysis revealed a range of 9-19 sessions two standard deviations above baseline mean performances for all individuals.
    UNASSIGNED: To achieve sufficient walking performance, gait practiced at higher intensity levels may provide the optimal solution as an adjunct to standard care for individuals with PD who want to improve their walking.
    Parkinson’s disease creates an inability to perform previous learned autonomic tasks, such as walking, which worsens with disease progression.Exercise practiced at higher levels of intensity has been recommended to improve clinical based outcomes for the neurological population.Walking practice at higher intensity levels can provide a solution to improve gait endurance for individuals with Parkinson’s disease.
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  • 文章类型: Letter
    定量磷酸蛋白质组数据主要来自比较两种或多种不同条件下相对磷酸肽强度的实验。而比较的理想参数是磷酸肽占用率。该术语很少使用,因此在磷酸化蛋白质组学研究中几乎没有实现。这应该引起科学期刊的关注。为了证明这个问题的相关性,在这里,我们展示了选择方法如何影响数据的解释。显示了用C1GB-300或CX-4945抑制CK2后在两种AML细胞系中调节的磷酸蛋白质组概况。在CK2的下游作用之后,比较磷酸位点强度和占有率结果以验证定量磷酸蛋白质组学研究的最佳方法。即使使用强度计算定量的磷酸肽的总数较高,在所有情况下,响应于CK2抑制而下调的CK2共有序列的百分比使用磷酸化位点占据定量较高。要注意,发现大量CK2共有序列下调,至少10%或15%的磷酸化位点占据变异,说明低阈值的占据调节可能指示生物学效应.此外,几种生物学过程仅在通过占用率定量的磷酸化蛋白质组中出现明显的过度代表。每个占有率变化范围的功能富集分析也说明了受CX-4945抑制CK2的AML细胞系之间的明显差异。获得了通过强度和占有率定量的磷酸蛋白质组之间的低重叠,这表明需要蛋白质组学技术的新发展来改善占有率方法的性能。即使在这样的背景下,结果表明,基于强度增强这种定量方法描述磷酸化蛋白质组数据的重要性,占用定量比磷酸化定量表现更好。
    Quantitative phosphoproteomic data has mostly been reported from experiments comparing relative phosphopeptides intensities in two or more different conditions, while the ideal parameter to compare is phosphopeptides occupancies. This term is scarcely used and therefore barely implemented in phosphoproteomics studies, and this should be of concern for the scientific journals. In order to demonstrate the relevance of this issue, here we show how the method of choice affects the interpretation of the data. The phosphoproteomic profile modulated in two AML cell lines after CK2 inhibition with CIGB-300 or CX-4945 is shown. Following the downstream action of CK2 the phosphosite intensity and occupancy results were compared to validate the best approach for quantitative phosphoproteomic studies. Even when the total number of quantified phosphopeptides was higher by using the intensity calculation, in all the cases the percent of CK2 consensus sequences which were down-regulated in response to CK2 inhibition was higher using the phosphosite occupancy quantification. To note, a high number of CK2 consensus sequences was found down-regulated with at least a 10% or 15% of phosphosite occupancy variation illustrating that low thresholds of occupancy modulation might be indicative of biological effect. Additionally, several biological processes only appear significantly over-represented in the phosphoproteome quantified by occupancy. The functional enrichment analysis per ranges of occupancy variations also illustrated clear differences among AML cell lines subjected to CK2 inhibition by CX-4945. A low overlap between the phosphoproteomes quantified by intensity and occupancy was obtained illustrating that new developments in proteomics techniques are needed to improve the performance of the occupancy approach. Even in such context, results indicate that occupancy quantification performs better than phosphorylation quantification based on intensity reinforcing the importance of such quantification approach to describe phosphoproteomic data.
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  • 文章类型: Journal Article
    在青少年足球训练的背景下,利用减少多变量数据的技术对于全面理解生物力学和生理数据集中的变化和关系至关重要。因此,这项研究的目的是确定影响年轻的亚精英足球运动员在标准微周期内训练的主要因素。在2019-2020赛季的六个星期内,总共对60名葡萄牙青年亚精英足球运动员(15.19±1.75岁)进行了连续监测,包括从比赛日开始的训练天数减去(MD-)3、MD-2和MD-1。每周训练负荷由18Hz全球定位系统(GPS)收集,1Hz心率(HR)监测器,感知劳累(RPE)和总质量恢复(TQR)。将主成分方法(PCA)与蒙特卡洛并行分析相结合应用于训练数据集。训练数据集被浓缩为三到五个主成分,根据训练日解释37.0%至83.5%的解释方差(比例和累积)(p<0.001)。值得注意的是,在总体训练数据中,本研究的特征值范围为1.20%至5.21%.对青少年次精英足球标准微循环的PCA分析发现,在MD-3、MD-2和MD-1中,第一个由覆盖距离和冲刺变量主导,第二部分侧重于人力资源测量和训练冲动(TRIMP)。对于每周的微循环,第一部分继续强调距离和强度变量,ACC和DEC特别有影响力,而第二个和随后的组成部分包括HR措施和感知的劳累。在三天的训练中分析,第一部分主要由与覆盖距离相关的变量组成,运行速度,高代谢负荷,冲刺,动态应力载荷,加速度,和减速。高强度要求在整个标准微循环中具有较高的相对重量,这意味着需要仔细监控和管理训练负荷。
    Utilizing techniques for reducing multivariate data is essential for comprehensively understanding the variations and relationships within both biomechanical and physiological datasets in the context of youth football training. Therefore, the objective of this study was to identify the primary factors influencing training sessions within a standard microcycle among young sub-elite football players. A total of 60 male Portuguese youth sub-elite footballers (15.19 ± 1.75 years) were continuous monitored across six weeks during the 2019-2020 in-season, comprising the training days from match day minus (MD-) 3, MD-2, and MD-1. The weekly training load was collected by an 18 Hz global positioning system (GPS), 1 Hz heart rate (HR) monitors, the perceived exertion (RPE) and the total quality recovery (TQR). A principal component approach (PCA) coupled with a Monte Carlo parallel analysis was applied to the training datasets. The training datasets were condensed into three to five principal components, explaining between 37.0% and 83.5% of the explained variance (proportion and cumulative) according to the training day (p < 0.001). Notably, the eigenvalue for this study ranged from 1.20% to 5.21% within the overall training data. The PCA analysis of the standard microcycle in youth sub-elite football identified that, across MD-3, MD-2, and MD-1, the first was dominated by the covered distances and sprinting variables, while the second component focused on HR measures and training impulse (TRIMP). For the weekly microcycle, the first component continued to emphasize distance and intensity variables, with the ACC and DEC being particularly influential, whereas the second and subsequent components included HR measures and perceived exertion. On the three training days analyzed, the first component primarily consisted of variables related to the distance covered, running speed, high metabolic load, sprinting, dynamic stress load, accelerations, and decelerations. The high intensity demands have a high relative weight throughout the standard microcycle, which means that the training load needs to be carefully monitored and managed.
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  • 文章类型: Journal Article
    乍得南部梅奥西纳的两个PITs中的冲积物,进行了地球化学分析,以确定烃源岩岩性组成,构造背景,风化程度,风化时期的气候类型,以及沉积和成熟的周期。用La/Sc值绘制源岩性图,Th/Sc,La/Co,和Cr/Th表明沉积物起源于长英质烃源岩成分。LREE/HREE的富集和负球粒陨石Eu异常证实了长英质源岩的组成。通过二元图(SiO2与K2O/Na2O)以及创新的判别图(DF1和DF2(Arc-Rift-Col)M1,DF(A-P)M,揭示了沉积物源岩的被动构造背景,和DF(A-P)MT)。斜长石蚀变指数(PIX)和化学蚀变指数(CIX)的结果表明了斜长石的去除和风化程度。SiO2/Al2O3的比例和新的成分变化指数(ICVnew),从配方中排除铁和钙的氧化物,表明沉积物是不成熟的。K2O/Na2O比率的示意图表明,沉积物经历了沉积的主要到次要阶段。
    The alluvial material in the two PITs of the Mayo Sina in the southern part of Chad, were subjected to a geochemical analysis in order to determine the source rock lithological composition, tectonic context, degree of weathering, type of climate at the period of weathering, and cycles of sedimentation and maturity. Plotting source lithology charts with values of La/Sc, Th/Sc, La/Co, and Cr/Th indicated that the sediments originated from a felsic source rock composition. The Enrichment of LREE/HREE and a negative chondrite Eu anomaly confirm the felsic source rock composition. A passive tectonic context for the source rock of the sediments is revealed by binary charts (SiO2 versus K2O/Na2O) in conjunction with innovative discrimination plots (DF 1 and DF 2 (Arc-Rift-Col)M1, DF (A-P)M, and DF (A-P)MT). The exceptional degree of plagioclase removal and weathering is demonstrated by the results of the Plagioclase Index of Alteration (PIX) and Chemical Index of Alteration (CIX). The proportion of SiO2/Al2O3 and the new index of compositional variation (ICVnew), which exclude iron and calcium oxides from the formula, indicate that the sediments are immature to mature. Schematic representations of K2O/Na2O ratio indicate that the sediments have undergone both primary to secondary phases of sedimentation.
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  • 文章类型: Journal Article
    经颅聚焦超声能够精确和非侵入地操作人类的脑深部回路,有望为各种神经和精神健康状况提供安全有效的治疗方法。聚焦到深部脑目标的超声可用于直接调节神经活动或定位精神活性药物的释放。然而,这些应用受到了一个关键屏障——人类头骨的阻碍,它强烈且不可预测地衰减超声波。为了解决这个问题,我们开发了一种基于超声的方法,可以直接测量和补偿颅骨的超声衰减。没有额外的颅骨成像,模拟,假设,或自由参数是必要的;该方法通过从头部一侧的阵列发射超声脉冲并在相对侧的阵列测量来直接测量衰减。这里,我们将这种新兴方法应用于两个主要的未来用途-神经调节和局部药物释放。具体来说,我们表明,矫正能够有效刺激周围神经,并通过离体人颅骨从纳米颗粒载体中有效释放异丙酚。没有校正,两种应用都不有效。此外,这些效应显示了预期的剂量-反应关系和靶向特异性.本文强调了精确控制颅骨内超声强度的必要性,并为解决这一挥之不去的障碍提供了一种直接实用的方法。
    Transcranial focused ultrasound enables precise and non-invasive manipulations of deep brain circuits in humans, promising to provide safe and effective treatments of various neurological and mental health conditions. Ultrasound focused to deep brain targets can be used to modulate neural activity directly or localize the release of psychoactive drugs. However, these applications have been impeded by a key barrier-the human skull, which attenuates ultrasound strongly and unpredictably. To address this issue, we have developed an ultrasound-based approach that directly measures and compensates for the ultrasound attenuation by the skull. No additional skull imaging, simulations, assumptions, or free parameters are necessary; the method measures the attenuation directly by emitting a pulse of ultrasound from an array on one side of the head and measuring with an array on the opposite side. Here, we apply this emerging method to two primary future uses-neuromodulation and local drug release. Specifically, we show that the correction enables effective stimulation of peripheral nerves and effective release of propofol from nanoparticle carriers through an ex vivo human skull. Neither application was effective without the correction. Moreover, the effects show the expected dose-response relationship and targeting specificity. This article highlights the need for precise control of ultrasound intensity within the skull and provides a direct and practical approach for addressing this lingering barrier.
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  • 文章类型: Journal Article
    背景:正畸树脂的荧光辅助识别技术(FIT)研究相对较新,使用任意选择的树脂,灯光,和工作参数。为了提供最佳可视化的FIT指南,本研究的目的是描述荧光正畸树脂的电磁特性,确定适当的灯光规格,并描述了光和工作参数对树脂荧光的影响。
    方法:这项体外研究使用分光光度法评估了五种荧光正畸树脂和一种非荧光对照树脂,对25μm厚的树脂进行缩放图像分析,以比较强度,和视觉评估。光源因手电筒透镜而异(窄[N],平均[X],并放大[Z])和紫外线强度(X和X高)。工作参数包括距离(20-300mm)和角度(15-70°)。指定视觉评分以确定可辨别性。
    结果:平均激发最大值为384nm。荧光随着更直接的UV光暴露而增加。用50mm和70°的LightXHigh记录最高强度。视觉评估遵循图像分析趋势,对于所有25μm厚的样品,荧光在临床上是可辨别的。
    结论:395-405nm的激发波长范围适合于FIT照明。所有的树脂都是各向异性的,并显示更大的荧光与更大的角度,更高的紫外线强度,更接近。
    BACKGROUND: Fluorescence-aided identification technique (FIT) studies for orthodontic resins are relatively new, using an arbitrary selection of resins, lights, and work parameters. In order to provide FIT guidelines for optimal visualization, the objectives of this study were to describe the electromagnetic characteristics of fluorescent orthodontic resins, determine appropriate light specification, and describe light and work parameter effects on resin fluorescence.
    METHODS: This in vitro study assessed five fluorescent orthodontic resins and a non-fluorescent control resin using spectrophotometry, a scaled image analysis of 25 μm thick resins to compare intensities, and a visual assessment. Light sources varied by flashlight lens (narrow [N], average [X], and magnified [Z]) and UV intensity (X and X High). Work parameters included distance (20-300 mm) and angulation (15-70°). Visual scores were assigned to determine discernibility.
    RESULTS: The average excitation maxima was 384 nm. Fluorescence increased with more direct UV light exposure. The highest intensity was recorded with Light X High at 50 mm and 70°. Visual assessment followed image analysis trends, and fluorescence was clinically discernable for all 25 μm thick samples.
    CONCLUSIONS: Excitation wavelength range of 395-405 nm is appropriate for FIT illumination. All resins were anisotropic and showed greater fluorescence with greater angle, higher UV intensity, and closer proximity.
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  • 文章类型: Journal Article
    总体体力活动(PA)与嗅觉功能障碍的减少有关,并且可以改善嗅觉功能。此外,嗅觉功能下降会导致总体PA水平下降,考虑到它与神经退行性疾病的关系。本研究旨在检查特定PA参数(持续时间,频率,强度)和成人的嗅觉功能。
    来自2013-2014年国家健康和营养调查(NHANES)的3,527名参与者接受了每周PA持续时间的评估,频率,和强度,除了气味测试(包括巧克力等气味,草莓,葡萄,洋葱,烟雾,天然气,皮革,和肥皂)。使用SPSS进行相关性分析和二元逻辑回归来评估关联。
    总嗅觉评分与持续时间呈较小但显着的正相关,频率,和中度PA的体积(相关系数在0.05和0.08之间;所有p≤0.05)和剧烈PA的频率(相关系数为0.05;p<0.05)。对于中度PA,持续时间,频率,和体积与正确检测葡萄气味的能力显着正相关,而频率与识别烟雾和皮革气味的能力显着正相关(比值比为1.01至1.07;p<0.05)。对于剧烈的PA,PA的频率与葡萄气味的检测呈正相关(比值比为1.05;p<0.05)。
    积极生活方式的一些参数与准确识别气味的几率提高高达7.4%有关。中等PA持续时间,频率,音量与更好的嗅觉分数有关,而高强度PA的关联有限。
    UNASSIGNED: Overall physical activity (PA) has been linked to decreased olfactory dysfunction and could improve olfactory function. Additionally, decreased olfactory function can contribute to reduced overall PA levels, given its association with neurodegenerative disorders. This study aims to examine the relationship between specific PA parameters (duration, frequency, intensity) and olfactory function in adults.
    UNASSIGNED: A total of 3,527 participants from the National Health and Nutrition Examination Survey (NHANES) 2013-2014 underwent assessments for weekly PA duration, frequency, and intensity, alongside a smell test (including odors such as chocolate, strawberry, grape, onion, smoke, natural gas, leather, and soap). Correlation analyses and binary logistic regressions using SPSS were used to evaluate associations.
    UNASSIGNED: The total smell score exhibited small yet significant positive correlations with the duration, frequency, and volume of moderate PA (correlation coefficients ranging between 0.05 and 0.08; all p ≤ 0.05) and frequency of vigorous PA (correlation coefficient of 0.05; p < 0.05). For moderate PA, the duration, frequency, and volume were significantly and positively associated with the ability to correctly detect the smell of grapes while the frequency was significantly and positively associated with the ability to identify smoke and leather odors (odds ratios ranging from 1.01 to 1.07; p < 0.05). For vigorous PA, the frequency of PA was positively associated with the detection of grape smell (odds ratio of 1.05; p < 0.05).
    UNASSIGNED: Some parameters of an active lifestyle are associated with improved odds of accurately identifying odors by up to 7.4%. Moderate PA duration, frequency, and volume were linked to better olfactory scores, while high-intensity PA had limited associations.
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  • 文章类型: Journal Article
    肥胖,全球健康挑战,受到生物的影响,行为,社会经济,和环境因素。在我们技术驱动的世界里,注意力分散的饮食很普遍,然而,它背后的神经认知机制仍然知之甚少。这项研究针对超重和肥胖的个体,全面探索分心下的味觉感知。参与者根据他们的体重指数(BMI)组成了两个不同的组,瘦和超重/肥胖。在实验过程中,参与者在玩各种难度级别的俄罗斯方块游戏时受到味觉刺激。参与者对味道强度和愉悦度进行了评分,使用线性混合模型分析分心效应。结果证实,高分心水平降低了味觉强度(p=0.017)和味觉愉悦(p=0.022),受性别和体重状况的影响。超重/肥胖组的个体在分散注意力期间表现出最深刻的强度变化(p=0.01)。味觉敏感度评分与BMI与性别呈正相关(男性r=0.227,p<0.001;女性r=0.101,p<0.001)。总的来说,在这两个群体中,女性参与者的味觉敏感度高于男性参与者(p<0.001).这项研究强调了消费过程中认知分心对味觉的影响,特别是关于体重状况和性别,强调它们在这种相互作用中的重要作用。
    Obesity, a global health challenge, is influenced by biological, behavioral, socioeconomical, and environmental factors. In our technology-driven world, distracted eating is prevalent, yet neurocognitive mechanisms behind it remain poorly understood. This study targets individuals with overweight and obesity, exploring taste perception under distraction comprehensively. Participants formed two distinct groups based on their Body Mass Index (BMI), lean and overweight/obese. During the experiment participants received gustatory stimuli while playing a Tetris game of various difficulty levels. Participants rated taste intensity and pleasantness, with linear mixed models analyzing distraction effects. Results confirmed that high distraction levels reduced perception of taste intensity (p = 0.017) and taste pleasantness (p = 0.022), with variations influenced by gender and weight status. Individuals in the overweight/obese group exhibited most profound intensity changes during distraction (p = 0.01). Taste sensitivity ratings positively correlated with BMI interacting with gender (male r = 0.227, p < 0.001; female r = 0.101, p < 0.001). Overall across both groups, female participants demonstrated higher taste sensitivity compared to male participants (p < 0.001). This study highlights the impact of cognitive distraction during consumption on taste perception, particularly in relation to weight status and gender, underscoring their significant roles in this interplay.
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  • 文章类型: Journal Article
    睡眠问题与肥胖风险增加有关。已经确定了多种机制来支持这种关系,包括感官加工和食物选择的变化。味觉研究人员最近开始探索味觉的变化是由于短期还是长期的睡眠习惯。进行了系统评价以调查这些关系。共有13项研究纳入审查。注意到使用的睡眠和味觉测量的异质性,大多数研究未能评估酸味,苦味和鲜味。尽管如此,现有证据表明,从健康的角度来看,甜味享乐感似乎受到短暂睡眠的不利影响。也就是说,优选的甜味浓度随着睡眠持续时间的减少而增加。习惯性睡眠和减少睡眠的干预措施对甜味敏感性的关联或影响很小。盐的味觉敏感性和享乐反应似乎相对不受睡眠不足的影响,但是需要更多的工作。目前还没有关于其他味道品质的确凿证据。
    Sleep problems are associated with increased risk of obesity. Multiple mechanisms have been identified to support this relationship, including changes in sensory processing and food choice. Taste researchers have recently begun to explore whether changes in taste occur as a result of short-term or long-term sleep habits. A systematic review was conducted to investigate these relationships. A total of 13 studies were included in the review. Heterogeneity in both the sleep and taste measurements used was noted, and most studies failed to assess sour, bitter and umami tastes. Still, the available evidence suggests that sweet taste hedonic perception appears to be undesirably influenced by short sleep when viewed through the lens of health. That is, preferred sweetness concentration increases as sleep duration decreases. Habitual sleep and interventions curtailing sleep had minimal associations or effects on sweet taste sensitivity. Salt taste sensitivity and hedonic responses appear to be relatively unaffected by insufficient sleep, but more work is needed. Solid evidence on other taste qualities is not available at the present time.
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  • 文章类型: Journal Article
    背景:KDIGO临床实践指南建议在急性肾损伤(AKI)的连续肾脏替代疗法(CRRT)期间,使用20-25mL/kg/h的流出物体积。最近关于CRRT启动的证据表明,较少的干预可能对肾脏恢复有益。本研究旨在探讨早期低CRRT强度和酸碱平衡校正与临床结局之间的关系。
    方法:这是一个单中心,回顾性,日本三级ICU的观察性研究。纳入ICU中所有需要CRRT的成年患者。符合条件的患者被分为低组(透析液流速,QD10.0-19.9mL/kg/h)和标准组(QD≥20mL/kg/h)通过开始时的CRRT强度。主要结果是CRRT开始后6小时酸碱参数的变化。我们使用治疗加权分析的反向概率来估计强度组和结果之间的关联。
    结果:总体而言,194例患者分为低组(n=144)和标准组(n=50)。标准组表现出更严重的酸碱紊乱,包括基线时较低的pH和BE。CRRT开始后6小时,pH值,BE,和SID值相当,即使在调整基线严重程度后。尽管进行了有效的校正,两组的临床结局无明显差异.
    结论:初始标准强度似乎可以有效纠正CRRT早期的酸碱失衡;然而,需要进一步的研究来评估对临床结局的影响.
    BACKGROUND: The Kidney Disease Improving Global Outcomes (KDIGO) clinical practice guideline recommends administering an effluent volume of 20-25 mL/kg/h during continuous renal replacement therapy (CRRT) for acute kidney injury. Recent evidence on CRRT initiation showed that less intervention might be beneficial for renal recovery. This study aimed to explore the association between early-phase low CRRT intensity and acid-base balance corrections and clinical outcomes.
    METHODS: This was a single-centre, retrospective, observational study at a tertiary intensive care unit (ICU) in Japan. All adult patients requiring CRRT in the ICU were included. Eligible patients were classified into the Low group (dialysate flow rate [QD] 10.0-19.9 mL/kg/h) and the Standard group (QD ≥20 mL/kg/h) by the intensity of CRRT at the beginning. The primary outcomes were acid-base parameters 6 h after CRRT initiation. We used an inverse probability of treatment weighting analysis to estimate the association between the intensity group and the outcomes.
    RESULTS: Overall, 194 patients were classified into the Low group (n = 144) and the Standard group (n = 50). The Standard group presented with more severe acid-base disturbances, including lower pH and base excess (BE) at baseline. At 6 h after CRRT initiation, pH, BE, and strong ion difference values were comparable, even after adjusting for baseline severity. Despite the efficient correction, no evident differences were observed in clinical outcomes between the two groups.
    CONCLUSIONS: The initial standard intensity appeared to be efficient in correcting acid-base imbalance at the early phase of CRRT; however, further studies are needed to assess the impact on clinical outcomes.
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