PBM

Pbm
  • 文章类型: Journal Article
    背景:在肺腺癌(LUAD)和严重急性呼吸综合征(SARS)中,可以在肺组织中检测到不受控制的炎症。SARS-CoV-1E蛋白中的PDZ结合基序(PBM)已被证明是诱导细胞因子风暴的毒力因子。
    方法:为了确定PBM诱导的基因表达波动,分析了感染野生型(SARS-CoV-1-E-wt)或重组病毒(SARS-CoV-1-E-mutPBM)的肺组织的微阵列测序数据,其次是功能富集分析。为了了解所筛选的基因在LUAD中的作用,计算总生存期和免疫相关性.
    结果:共有12个基因可能通过表达变异和突变参与LUAD的初始和发育阶段。此外,共有12个基因失调可能导致预后较差.此外,PBM下调MAMDC2和ITGA8也可能影响患者预后.尽管保守的PBM(-D-L-L-V-)可以在冠状病毒的多个E蛋白的羧基末端发现,每种蛋白质的特定功能取决于整个氨基酸序列。
    结论:总之,含有SARS-CoV-1E蛋白的PBM通过调节重要基因表达谱并随后影响免疫反应和总体预后来促进LUAD的致癌作用。
    BACKGROUND: In both lung adenocarcinoma (LUAD) and severe acute respiratory syndrome (SARS), uncontrolled inflammation can be detected in lung tissue. The PDZ-binding motif (PBM) in the SARS-CoV-1 E protein has been demonstrated to be a virulence factor that induces a cytokine storm.
    METHODS: To identify gene expression fluctuations induced by PBM, microarray sequencing data of lung tissue infected with wild-type (SARS-CoV-1-E-wt) or recombinant virus (SARS-CoV-1-E-mutPBM) were analyzed, followed by functional enrichment analysis. To understand the role of the screened genes in LUAD, overall survival and immune correlation were calculated.
    RESULTS: A total of 12 genes might participate in the initial and developmental stages of LUAD through expression variation and mutation. Moreover, dysregulation of a total of 12 genes could lead to a poorer prognosis. In addition, the downregulation of MAMDC2 and ITGA8 by PBM could also affect patient prognosis. Although the conserved PBM (-D-L-L-V-) can be found at the end of the carboxyl terminus in multiple E proteins of coronaviruses, the specific function of each protein depends on the entire amino acid sequence.
    CONCLUSIONS: In summary, PBM containing the SARS-CoV-1 E protein promoted the carcinogenesis of LUAD by dysregulating important gene expression profiles and subsequently influencing the immune response and overall prognosis.
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  • 文章类型: Systematic Review
    目的:本研究旨在评估光生物调节疗法(PBM)在增强牙种植体骨整合方面的有效性。
    方法:PubMed,ScienceDirect,Cochrane图书馆,Scopus,和谷歌学者被搜索。纳入了评估PBM有效性的研究,包括明确的干预/对照组。而那些缺乏指定激光类型的人,涉及严重的颌面部缺损或手术,且未报告与PBM治疗后牙种植体骨整合相关的结局被排除.使用Robvis进行随机对照试验(RCT),使用ROBINS-I进行非RCT评估研究偏倚风险。荟萃分析采用随机效应模型,显著性水平为0.01。
    结果:该研究回顾了26篇论文,涉及571例接受PBM/低水平激光治疗(LLLT)或安慰剂/对照牙种植手术的患者。植入物稳定性商(ISQ)分析显示无显着差异(p=0.06,平均差:1.02,95%CI:0.28至1.75,I2=28%),而Periotest方法表明稳定性显着提高(p<0.01,平均差:-0.51,95%CI:-0.78至-0.24,I2=71%)。PBM导致骨密度显着增加(p<0.01,平均差:26,95%CI:6.93至45.06,I2=91%),但是边缘骨丢失没有显着差异(p=0.11,平均差:0.00,95%CI:-0.06至0.05,I2=45%)。种植成活率无显著差异(p=0.73,平均差:1.56,95%CI:0.38~6.46,I2=0%)。大多数研究提出了关于随机化的担忧。
    结论:PBM可以提高种植体的稳定性,根据Periotest的评估,增加骨密度,增强骨整合。然而,用ISQ评估的植入物稳定性,边缘性骨丢失,和植入物存活率在研究组之间具有可比性。
    OBJECTIVE: This study aimed to assess the effectiveness of photobiomodulation therapy (PBM) in enhancing bone integration with dental implants.
    METHODS: PubMed, ScienceDirect, the Cochrane Library, Scopus, and Google Scholar were searched. Studies assessing PBM effectiveness with defined intervention/control groups were included, while those lacking specified laser types, involving severe maxillofacial defects or surgery, and not reporting outcomes related to dental implant osseointegration post-PBM therapy were excluded. The studies\' risk of bias was assessed using Robvis for randomized controlled trials (RCTs) and ROBINS-I for non-RCTs. The meta-analysis was conducted utilizing a random-effects model at a significance level of 0.01.
    RESULTS: The study reviewed 26 papers involving 571 patients undergoing dental implant procedures with PBM/Low-Level Laser Therapy (LLLT) or placebo/control. Implant stability quotients (ISQ) analysis showed a non-significant difference (p = 0.06, mean difference: 1.02, 95 % CI: 0.28 to 1.75, I2=28 %), while the Periotest method indicated significant improvement in stability (p < 0.01, mean difference: -0.51, 95 % CI: -0.78 to -0.24, I2=71 %). PBM resulted in a significant bone density increase (p < 0.01, mean difference: 26, 95 % CI: 6.93 to 45.06, I2=91 %), but marginal bone loss showed no significant difference (p = 0.11, mean difference: 0.00, 95 % CI: -0.06 to 0.05, I2=45 %). Implant survival rate did not significantly differ (p = 0.73, mean difference: 1.56, 95 % CI: 0.38 to 6.46, I2=0 %). Most studies raised concerns regarding randomization.
    CONCLUSIONS: PBM could improve implant stability, as assessed with Periotest, and increase bone density, enhancing osseointegration. However, implant stability assessed with ISQ, marginal bone loss, and implant survival rate were comparable between the study groups.
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  • 文章类型: Journal Article
    目的:回答这个研究问题:什么是有效波长,电源,背景数据:光生物调节(PBM)已在临床上研究了其在正畸学中加速牙齿运动的能力。然而,它的有效性是剂量依赖性的。方法:在PubMed中进行搜索,Scopus,和ISIWebofScience。纳入的系统评价的质量使用AMSTAR2工具进行。使用ROBIS工具评估偏倚风险。结果:总的来说,PubMed中的29篇文章,75在Scopus,和61在ISIWebofScience中。最后,仅包括五项系统审查。结论:结果表明,从730到830nm的范围是加速正畸牙齿移动的最有效波长范围。功率范围为0.25-200mW,强调功率之间的直接相关性,波长,和能量密度。在大多数随机对照临床试验中,能量密度尚未得到充分报道。
    Objective: To answer this research question: What are the effective wavelength, power, and energy density parameters for achieving dental movement acceleration? Background Data: Photobiomodulation (PBM) has been clinically studied for its ability to accelerate dental movements in orthodontics. However, its effectiveness is dose dependent. Methods: The search was carried out in PubMed, SCOPUS, and ISI Web of Science. The quality of the included systematic reviews was performed using the AMSTAR 2 tool. The risk of bias was assessed using the ROBIS tool. Results: In total, 29 articles in PubMed, 75 in Scopus, and 61 in ISI Web of Science. Finally, only five systematic reviews were included. Conclusions: The results showed the range from 730 to 830 nm as the most effective range of wavelength to accelerate the orthodontic dental movement. A power range of 0.25-200 mW, with emphasis on the direct correlation between power, wavelength, and energy density. Energy density has not been adequately reported in the most randomized controlled clinical trials.
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  • 文章类型: Journal Article
    光生物调节(PBM)代表了一种用于非侵入性治疗干预的有前途和强大的方法。这一新兴的研究领域由于其在多个学科领域的潜力而获得了相当大的关注,包括医学,神经科学,和运动医学。虽然PBM在许多医学应用中显示出刺激各种细胞过程的能力,治疗参数的微调,如波长,辐照度,治疗持续时间,和照明几何,仍然是一个持续的挑战。此外,需要进一步的研究来揭示具体的作用机制,并为不同的临床应用建立标准化的方案.鉴于线粒体在PBM机制中起关键作用的广泛接受的理解,我们的研究探讨了大量的PBM照明参数,同时评估PBM的影响的基础上的终点反映人心肌细胞(HCM)的线粒体代谢,以其高线粒体密度而闻名。这些终点包括:i)原卟啉IX(PpIX)的内源性产生,ii)罗丹明123(Rhod123)监测的线粒体电位变化,iii)HCM耗氧量的变化,iv)线粒体中Rhod123的荧光寿命,和v)线粒体形态的改变。在评估PBM效应的这些不同方法之间观察到的良好相关性强调了监测内源性PpIX产生提供了对线粒体代谢活性的有趣的间接见解。该结论是重要的,因为许多批准的疗法和癌症检测方法是基于PpIX的使用。最后,这种相关性强烈表明,上述PBM效应具有共同的“基本”机制起源。
    Photobiomodulation (PBM) represents a promising and powerful approach for non-invasive therapeutic interventions. This emerging field of research has gained a considerable attention due to its potential for multiple disciplines, including medicine, neuroscience, and sports medicine. While PBM has shown the ability to stimulate various cellular processes in numerous medical applications, the fine-tuning of treatment parameters, such as wavelength, irradiance, treatment duration, and illumination geometry, remains an ongoing challenge. Furthermore, additional research is necessary to unveil the specific mechanisms of action and establish standardized protocols for diverse clinical applications. Given the widely accepted understanding that mitochondria play a pivotal role in the PBM mechanisms, our study delves into a multitude of PBM illumination parameters while assessing the PBM\'s effects on the basis of endpoints reflecting the mitochondrial metabolism of human cardiac myocytes (HCM), that are known for their high mitochondrial density. These endpoints include: i) the endogenous production of protoporphyrin IX (PpIX), ii) changes in mitochondrial potential monitored by Rhodamine 123 (Rhod 123), iii) changes in the HCM\'s oxygen consumption, iv) the fluorescence lifetime of Rhod 123 in mitochondria, and v) alterations of the mitochondrial morphology. The good correlation observed between these different methods to assess PBM effects underscores that monitoring the endogenous PpIX production offers interesting indirect insights into the mitochondrial metabolic activity. This conclusion is important since many approved therapeutics and cancer detection approaches are based on the use of PpIX. Finally, this correlation strongly suggests that the PBM effects mentioned above have a common \"fundamental\" mechanistic origin.
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  • 文章类型: Journal Article
    小型试点研究表明,经颅光生物调节(tPBM)可以帮助减轻神经系统疾病的症状,比如抑郁症,创伤性脑损伤,和自闭症谱系障碍(ASD)。
    检查tPBM对2至6岁儿童ASD症状的影响。
    我们进行了随机,假对照临床试验,涉及30名2至6岁的儿童,先前诊断为ASD。我们发出近红外光脉冲(40赫兹,850nm)每周两次对选定的大脑区域进行非侵入性检查,持续八周,使用为此目的设计的研究性医疗设备(Cognilum™,JelikaLite公司,纽约,美国)。我们使用了儿童自闭症评定量表(CARS,第2版),以评估和比较治疗过程前后参与者的ASD症状。我们在每次会议期间从那些耐受佩戴EEG帽的参与者收集脑电图(EEG)数据。
    两组之间的CARS评分变化差异为7.23(95%CI为2.357至12.107,p=0.011)。30名参与者中有17人完成了至少两个EEG,并检测到了与时间相关的趋势。此外,在增量功率(系数=7.521,95%CI-0.517至15.559,p=0.07)和θ功率(系数=-8.287,95%CI-17.199至0.626,p=0.07)中观察到有效与假与缩放时间之间的相互作用,表明活性组的治疗随着时间的推移,δ功率有更大的降低和θ功率增加的潜在趋势,与Sham组相比。此外,病情有显著差异(治疗与假)的θ波功率(净θ)(系数=9.547,95%CI0.027至19.067,p=0.049)。试验期间未报告或观察到中度或重度副作用或不良反应。
    这些结果表明,tPBM可能是ASD的安全有效治疗方法,应在更大的研究中进行更深入的研究。临床试验注册:https://clinicaltrials.gov/ct2/show/NCT04660552,标识符NCT04660552。
    UNASSIGNED: Small pilot studies have suggested that transcranial photobiomodulation (tPBM) could help reduce symptoms of neurological conditions, such as depression, traumatic brain injury, and autism spectrum disorder (ASD).
    UNASSIGNED: To examine the impact of tPBM on the symptoms of ASD in children aged two to six years.
    UNASSIGNED: We conducted a randomized, sham-controlled clinical trial involving thirty children aged two to six years with a prior diagnosis of ASD. We delivered pulses of near-infrared light (40 Hz, 850 nm) noninvasively to selected brain areas twice a week for eight weeks, using an investigational medical device designed for this purpose (Cognilum™, JelikaLite Corp., New York, United States). We used the Childhood Autism Rating Scale (CARS, 2nd Edition) to assess and compare the ASD symptoms of participants before and after the treatment course. We collected electroencephalogram (EEG) data during each session from those participants who tolerated wearing the EEG cap.
    UNASSIGNED: The difference in the change in CARS scores between the two groups was 7.23 (95% CI 2.357 to 12.107, p = 0.011). Seventeen of the thirty participants completed at least two EEGs and time-dependent trends were detected. In addition, an interaction between Active versus Sham and Scaled Time was observed in delta power (Coefficient = 7.521, 95% CI -0.517 to 15.559, p = 0.07) and theta power (Coefficient = -8.287, 95% CI -17.199 to 0.626, p = 0.07), indicating a potential trend towards a greater reduction in delta power and an increase in theta power over time with treatment in the Active group, compared to the Sham group. Furthermore, there was a significant difference in the condition (Treatment vs. Sham) in the power of theta waves (net_theta) (Coefficient = 9.547, 95% CI 0.027 to 19.067, p = 0.049). No moderate or severe side effects or adverse effects were reported or observed during the trial.
    UNASSIGNED: These results indicate that tPBM may be a safe and effective treatment for ASD and should be studied in more depth in larger studies.Clinical trial registration: https://clinicaltrials.gov/ct2/show/NCT04660552, identifier NCT04660552.
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  • 文章类型: Case Reports
    目的:介绍一例严重牙根吸收后上颌侧切牙牙根再生的病例报告。用光生物调节(PBM)处理。背景:上颌尖牙受影响通常有上颌侧切牙牙根吸收的风险,这被广泛认为是在这些情况下的主要不利影响。这种渐进的牙根吸收过程目前是不可逆的,没有已知的方法来扭转它。材料和方法:男性患者14岁。从放射学上观察到,犬23正在撞击22的根,产生根吸收的迹象,并具有小于1:1的冠根比,迁移率等级为1。从治疗开始,提出了PBM辅助正畸治疗。为了解决患者的牙科问题,治疗计划概述了拔除乳牙左上犬牙,尽可能长时间地将外侧留在口腔中。在每次约会期间,用二极管激光器施加PBM。波长为810nm,Ap=0.2W,4.4J,每21天22秒,共13个应用(57.2J),一个400μm不活动的手术尖端,在扫描运动中,距粘膜1毫米,同时沿着左上外侧和犬根的前庭表面移动。结果:12个月后,22根新生,顶端完全闭合,有活力。结论:在这种临床情况下,PBM与810nm二极管激光促进上侧切牙的根部再生,严重的根吸收,由于受影响的上颌犬,而仍然至关重要。
    Objective: To present a case report of maxillary lateral incisor root regeneration after severe root resorption, treated with photobiomodulation (PBM). Background: Impacted maxillary canines often come with the risk of maxillary lateral incisor root resorption, which is widely recognized as the predominant adverse effect in these situations. This progressive process of root resorption is currently irreversible, with no known way to reverse it. Materials and methods: A male patient was 14 years old. Radiographically it was observed that canine 23 is impacting against the root of 22 producing signs of root resorption and having a less than 1:1 crown-to-root ratio with mobility grade 1. From the beginning of the treatment, PBM-assisted orthodontics was proposed. To address the patient\'s dental concerns, the treatment plan outlined the extraction of the deciduous upper left canine tooth leaving the lateral as long as possible in the mouth. During each appointment, PBM was applied with a diode laser. The wavelength was 810 nm, Ap = 0.2 W, 4.4 J, 22 sec every 21 days, 13 applications in total (57.2J), with a 400 μm inactive surgical tip, in a scanning movement, 1 mm from the mucosa while moving following the vestibular surface of the upper left lateral and canine roots. Results: After 12 months, the 22 had root neoformation and complete closure of the apex with vitality. Conclusions: PBM with an 810 nm diode laser in this clinical case promoted root regeneration of an upper lateral incisor, with severe root resorption, owing to an impacted maxillary canine while still vital.
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  • 文章类型: Journal Article
    背景/目的:复发性口疮性口炎(RAS)是最常见的口腔粘膜病变之一,是一种非常衰弱的病变,尤其是儿科和青少年患者。目前的药物疗法可以缓解疼痛,但并非没有副作用,因此,光生物调节(PBM)可以是一种替代疗法。对于作者最好的知识,没有发表的研究探讨了λ980nm激光PBM在儿科和青少年患者所有RAS亚型管理中的功效,因此,这项前瞻性观察性临床研究旨在通过评估λ980nm激光PBM在儿科和青少年患者症状性RAS治疗中的疗效来弥合这一差距.目的是评估(1)疼痛强度减轻;(2)伤口愈合率;(3)伤口大小闭合;(4)完全缓解;(5)复发的证据;(6)患者的治疗满意度。方法:在以下时间点评估研究变量:T0:治疗前;T1:第一次PBM会议后立即;T2:第一次PBM会议后5小时(h)(通过电话);T3:第二次PBM会议后立即(第一次PBM会议后三天);T4:三天随访(完成PBM治疗后);T5:两周随访;T6:三个月。采用以下PBM剂量测定和治疗方案:λ980nm;300mW;60s;18J;CW;1cm2光斑尺寸的平顶光束轮廓;18J/cm2;和每周两次的照射(间隔72小时)。结果:在T1时,报告了显着的立即疼痛强度缓解。在定量数字疼痛强度量表(NPIS)上记录了“4”的33.33%和报告了“5”的66.67%,在T2继续显着改善(83.33%)。所有受试者在T3、T4、T5和T6时在NPIS上报告“0”。与T0相比,在T3时病变表面积显著减少(>50%完全愈合)。完全愈合(100%),在T4,T5和T6时未观察到瘢痕形成和病变复发的迹象。在所有时间点均报告了非常好的患者满意度。结论:这是第一份报告,在儿科和青少年患者的所有RAS亚型管理中,经过3个月的随访,证明了λ980nm的疗效。从科学和实践的角度来看,其PBM剂量测定和治疗方案是有效的,因此,具有大量数据的多中心RCT有必要验证其可重复性,并丰富PBM在所有RAS亚型中应用的知识。
    Background/Objectives: Recurrent aphthous stomatitis (RAS) is one of the most common oral mucosal lesions and a very debilitating lesion, especially in paediatric and adolescent patients. The current pharmacotherapy offers a pain relief but not without side effects, and therefore photobiomodulation (PBM) can be an alternative therapy. To the authors\' best knowledge, no published study has explored the efficacy of λ 980 nm laser PBM in the management of all RAS subtypes in paediatric and adolescent patients, and therefore, this prospective observational clinical study was conducted to bridge this gap by evaluating λ 980 nm laser PBM efficacy in symptomatic RAS management in paediatric and adolescent patients. The objectives were to evaluate (1) pain intensity alleviation; (2) wound healing rate; (3) wound size closure; (4) a complete resolution; (5) evidence of recurrence; and (6) patients\' treatment satisfaction. Methods: The study\'s variables were assessed at the following timepoints: T0: pre-treatment; T1: immediately after first PBM session; T2: 5 hours (h) post first PBM session (via telephone call); T3: immediately after second PBM session (three days post first PBM session); T4: three-day follow-up (after complete PBM treatments); T5: two-week follow-up; and T6: three-month follow-up. The following PBM dosimetry and treatment protocols were employed: λ 980 nm; 300 mW; 60 s; 18 J; CW; flattop beam profile of 1 cm2 spot size; 18 J/cm2; and twice-a-week irradiation (72 h interval). Results: At T1, significant immediate pain intensity relief was reported. 33.33% recorded \"4\" and 66.67% reported \"5\" on the quantitative numeric pain intensity scale (NPIS), and this continued to improve significantly (83.33%) at T2. All the subjects reported \"0\" on the NPIS at T3, T4, T5 and T6. There was a significant reduction in the lesion surface area (>50% complete healing) at T3 compared to T0. Complete healing (100%) with no evidence of scarring and lesion recurrence observed at T4, T5 and T6. Very good patients\' satisfaction was reported at all timepoints. Conclusions: This is the first report demonstrating λ980 nm efficacy in all RAS subtype management in paediatric and adolescent patients with a 3-month follow-up, whereby its PBM dosimetry and treatment protocols were effective from scientific and practical standpoints, and hence multicentre RCTs with large data are warranted to validate its reproducibility and to enrich the knowledge of PBM application in all RAS subtypes.
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  • 文章类型: Editorial
    在正畸治疗期间,在施加力之前,我们可以通过使用光生物调节(PBM)作为佐剂来实现不同的运动。我们可以预期更大的骨密度,最初抵制运动,同时将PBM应用于其他牙齿以实现加速效果。建议的协议是使用0.1W功率的810nm激光器,每颗牙齿在前庭和舌根表面上施用4至6J,持续22秒,跟随齿的轴向轴线。能量密度取决于仪器中选择的尖端。正常的骨重建不能通过应用高剂量的PBM来避免。应在正畸力之前应用PBM,以减少牙齿移动。此外,PBM可以在向需要加速以实现正畸治疗中的差异运动的牙齿施加力期间使用。协议在这两种情况下是相同的。
    During orthodontic treatment, we can achieve differential movements by using photobiomodulation (PBM) as an adjuvant before applying force. We can expect a greater bone density that initially resists movement while applying PBM to the other teeth to achieve an accelerating effect. The proposed protocol is to use an 810 nm laser at 0.1W power, applying between 4 and 6J per tooth for 22 s on the vestibular and lingual root surfaces, following the axial axis of the tooth. The energy density depends on the tip selected in the instrument. Normal bone remodeling cannot be avoided by applying high doses of PBM. PBM should be applied before orthodontic force to reduce tooth movement. In addition, PBM can be used during force application to teeth that require acceleration to achieve differential movement in orthodontic treatments. The protocol is the same in both scenarios.
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  • 文章类型: Journal Article
    一种新的生物制造平台,结合了含油酵母Yarrowialipolytica的细胞内代谢工程和细胞外生物反应工程,可将植物油/动物脂肪有效地生物转化为高价值产品。然而,预测流体动力学和传质参数是困难的,由于高搅拌和喷射需要在水性介质中产生分散的油滴,有效的酵母发酵。在目前的研究中,商业计算流体动力学(CFD)求解器AnsysCFX与MUSIG模型耦合首先预测两相系统(油/水和空气/水)混合动力学及其粒径分布。然后,三相模型(油,空气,和水)利用分散的气泡和多分散的油相进行探索发酵罐混合,气体分散效率,和体积传质系数估计(kLa)。研究分析了叶轮类型的影响,搅拌速度,和油箱流场上的功率输入,并显示顶部两个位置的向上泵送俯仰叶片叶轮(PBI)(与Rushton型相比)提供了有利的油相均匀性和类似的估计kLa值,同时降低了功率。这些结果与实验混合和kLa数据显示出良好的一致性。
    A new biomanufacturing platform combining intracellular metabolic engineering of the oleaginous yeast Yarrowia lipolytica and extracellular bioreaction engineering provides efficient bioconversion of plant oils/animal fats into high-value products. However, predicting the hydrodynamics and mass transfer parameters is difficult due to the high agitation and sparging required to create dispersed oil droplets in an aqueous medium for efficient yeast fermentation. In the current study, commercial computational fluid dynamic (CFD) solver Ansys CFX coupled with the MUSIG model first predicts two-phase system (oil/water and air/water) mixing dynamics and their particle size distributions. Then, a three-phase model (oil, air, and water) utilizing dispersed air bubbles and a polydispersed oil phase was implemented to explore fermenter mixing, gas dispersion efficiency, and volumetric mass transfer coefficient estimations (kL a). The study analyzed the effect of the impeller type, agitation speed, and power input on the tank\'s flow field and revealed that upward-pumping pitched blade impellers (PBI) in the top two positions (compared to Rushton-type) provided advantageous oil phase homogeneity and similar estimated kL a values with reduced power. These results show good agreement with the experimental mixing and kL a data.
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  • 文章类型: Journal Article
    光生物调节(PBM),以前被称为低水平激光疗法,代表一种利用红光波长的非侵入性光疗形式(RL,620-700nm)部分可见光(VL,400-700nm)光谱和近红外(NIR,700-1440nm)光谱。PBM是一种有前途且越来越多地用于治疗各种皮肤病和非皮肤病的疗法。来自RL和NIR的光子被内源性光感受器(包括线粒体细胞色素C氧化酶(COX))吸收。COX的激活导致以下变化:线粒体三磷酸腺苷(ATP)的调节,活性氧(ROS)的产生,和细胞内钙水平的改变。ATP的相关调节,ROS和钙水平促进各种信号通路的激活(例如,胰岛素样生长因子,磷酸肌醇3-激酶途径),这有助于细胞增殖的下游效应,迁移和分化。有效的PBM治疗取决于治疗参数(例如,注量,治疗持续时间和输出功率)。PBM通常具有良好的耐受性和安全性,红斑是最常见和自限性的不良皮肤效应。
    Photobiomodulation (PBM), previously known as low-level laser light therapy, represents a non-invasive form of phototherapy that utilizes wavelengths in the red light (RL, 620-700 nm) portion of the visible light (VL, 400-700 nm) spectrum and the near-infrared (NIR, 700-1440 nm) spectrum. PBM is a promising and increasingly used therapy for the treatment of various dermatologic and non-dermatologic conditions. Photons from RL and NIR are absorbed by endogenous photoreceptors including mitochondrial cytochrome C oxidase (COX). Activation of COX leads to the following changes: modulation of mitochondrial adenosine triphosphate (ATP), generation of reactive oxygen species (ROS), and alterations in intracellular calcium levels. The associated modulation of ATP, ROS and calcium levels promotes the activation of various signaling pathways (e.g., insulin-like growth factors, phosphoinositide 3-kinase pathways), which contribute to downstream effects on cellular proliferation, migration and differentiation. Effective PBM therapy is dependent on treatment parameters (e.g., fluence, treatment duration and output power). PBM is generally well-tolerated and safe with erythema being the most common and self-limiting adverse cutaneous effect.
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