PT

高色氨酸血症
  • 文章类型: Journal Article
    在现代社会中,超细贵金属已成为先进的纳米催化剂,但在250°C以上的温度下仍不可避免地烧结(例如,Pt)。在这项工作中,紧密堆积的CeO2晶粒优雅地限制在纤维纳米结构中,并用作稳定3nm以下Pt簇的多孔载体。通过精确控制获得的纳米纤维的不对称性,在C形CeO2纳米纤维中引起不均匀的应变,在外侧具有拉伸应变,在内侧具有压缩应变。因此,富集的氧空位显着改善了Pt对CeO2的粘附,从而提高了超纤维素亚3nmPt簇的烧结电阻。值得注意的是,即使在750°C的湿空气中暴露12小时后,也没有观察到聚集,这远远超过了它们的塔曼温度(烧结起始温度,低于250°C)。原位HAADF-STEM观察揭示了独特的烧结机理,其中Pt团簇最初以集中的污点向晶界迁移,并经历轻微的聚结,随后奥斯特瓦尔德在更高的温度下成熟。此外,耐烧结的Pt/C形CeO2以持久的方式有效地催化烟灰燃烧(超过700°C)。这项工作从纳米氧化物中的应变工程的角度为开发耐烧结催化剂提供了新的见解。
    Ultrafine noble metals have emerged as advanced nanocatalysts in modern society but still suffer from unavoidable sintering at temperatures above 250 °C (e.g., Pt). In this work, closely packed CeO2 grains were confined elegantly in fibrous nanostructures and served as a porous support for stabilizing sub-3 nm Pt clusters. Through precisely manipulating the asymmetry of obtained nanofibers, uneven strain was induced within C-shaped CeO2 nanofibers with tensile strain at the outer side and compressive strain at the inner side. As a result, the enriched oxygen vacancies significantly improved adhesion of Pt to CeO2, thereby boosting the sinter-resistance of ultraclose sub-3 nm Pt clusters. Notably, no aggregation was observed even after exposure to humid air at 750 °C for 12 h, which is far beyond their Tammann temperature (sintering onset temperature, below 250 °C). In situ HAADF-STEM observation revealed a unique sintering mechanism, wherein Pt clusters initially migrate toward the grain boundaries with concentrated stain and undergo slight coalescence, followed by subsequent Ostwald ripening at higher temperatures. Moreover, the sinter-resistant Pt/C-shaped CeO2 effectively catalyzed soot combustion (over 700 °C) in a durable manner. This work provides a new insight for developing sinter-resistant catalysts from the perspective of strain engineering within nano-oxides.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    对金属和载体之间相互作用的原子尺度洞察在优化催化剂设计中起着至关重要的作用。了解催化机制,和增强化学转化过程。氧化物载体对负载金属物种在预处理或反应过程中的动态行为的影响一直受到广泛关注;然而,使用实际催化剂进行的系统积分很少。在这项研究中,我们在这里使用刻面控制的CeO2作为例子,以探索它们对负载的Pt物种(1.0重量%)的影响在还原和氧化预处理,通常应用于非均相催化剂。通过使用显微镜的组合,光谱学,和第一性原理计算,结果表明,在不同的环境条件下,CeO2的暴露晶面控制着负载的Pt物种的演化行为。这导致Pt物种的不同局部配位和电荷状态,直接影响催化反应性,可用于控制CO氧化反应的催化性能。
    Atomic-scale insights into the interactions between metals and supports play a crucial role in optimizing catalyst design, understanding catalytic mechanisms, and enhancing chemical conversion processes. The effects of oxide support on the dynamic behavior of supported metal species during pretreatments or reactions have been attracting a lot of attention; however, very less systematic integrations are carried out experimentally using real catalysts. In this study, we here utilized facet-controlled CeO2 as examples to explore their influence on the supported Pt species (1.0 wt %) during the reducing and oxidizing pretreatments that are typically applied in heterogeneous catalysts. By employing a combination of microscopy, spectroscopy, and first-principles calculations, it is demonstrated that the exposed crystal facets of CeO2 govern the evolution behavior of supported Pt species under different environmental conditions. This leads to distinct local coordinations and charge states of the Pt species, which directly influence the catalytic reactivity and can be leveraged to control the catalytic performance for CO oxidation reactions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在这项工作中,我们报告了三种Pt(II)发射器的合成,即,Pt4N1,Pt4N2和Pt4N3,它们的四齿螯合物通过将两个吡唑螯合物与单个二甲苯基氨基实体连接而组装。通过在吡啶基上添加电负性CF3取代基并转换为更缺电子的吡嗪基,分别得到Pt4N2和Pt4N3,可以实现Pt4N1的官能化。垂直排列的二甲苯基氨基实体有效抑制了分子间π-π堆积和Pt····Pt相互作用,如单晶X射线结构分析所示。在制造OLED器件时,基于Pt4N2和Pt4N3的器件提供了高效的青色和绿色发射,EQEmax为15.2%和11.2%,分别,确认四齿螯合策略的成功。
    In this work, we report the syntheses of three Pt(II) emitters, namely, Pt4N1, Pt4N2, and Pt4N3, to which their tetradentate chelates were assembled by linking two pyrazolate chelates with a single xylenylamino entity. Functionalization of Pt4N1 was achieved upon addition of electronegative CF3 substituent on pyridinyl groups and switching to more electron deficient pyrazinyl groups in giving Pt4N2 and Pt4N3, respectively. The vertical arranged xylenylamino entity has effectively suppressed the inter-molecular π-π stacking and Pt···Pt interaction, as shown by the single crystal X-ray structural analyses. Upon fabrication of OLED devices, Pt4N2 and Pt4N3 based devices delivered efficient cyan and green emission, with an EQEmax of 15.2% and 11.2%, respectively, affirming the successfulness of the tetradentate chelating strategy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:患有帕金森病(PD)的个体在进行频繁运动时可以改善其整体活动能力和对日常活动的参与。尽管需要单独定制的练习,患有PD的人经常面临接触可以提供他们的物理康复专业人员的障碍。远程康复(TR)可以促进PD患者获得必要且个性化的康复。
    目的:本研究的目的是评估TR对PD患者的可行性,并探讨与现场护理相比的临床结果。
    方法:这是一项试点随机对照试验,在2个门诊神经康复诊所进行,有3个研究组:诊所+TR,仅TR,和常规护理(UC)。TR使用基于Web的应用程序和移动应用程序选项进行管理。每周进行一小时的干预,持续4周,诊所+TR和UC组以及几乎仅TR组的面对面。UC组以纸上的形式提供了家庭练习,并通过基于Web的平台为临床TR和仅TR组提供了家庭练习。通过招募和保留成功以及患者和治疗师满意度来评估可行性。如调查中所述。在组间和组内分析中,使用表现和患者报告的测量来探索临床结果。
    结果:在筛查的389名患者中,68(17.5%)符合资格标准,20人(占符合条件的29.4%)入组(诊所+TR,n=6;仅TR,n=6;和UC,n=8)。一名患者(仅TR)因非研究相关的伤害性跌倒而退出。无论小组分配如何,在所有评估的结构中,患者和治疗师通常都将护理交付模式评为“良好”或“非常好”,包括总体满意度和安全性。在对所有群体的分析中,出院访视时的临床结局无差异.组内差异(从基线到出院)通常也不显着,除非UC组(更快的5次静坐时间和更高的迷你平衡评估系统测试平衡评分)和临床TR组(更高的迷你平衡评估系统测试平衡评分)。
    结论:无论分组如何,患者和临床医生的满意度都很高,结合临床结局的组间差异,提示TR对于早期中度PD患者是可行的。未来需要更大样本的试验来测试临床有效性。随着更大的试验招募具有不同特征的患者(例如,就年龄而言,疾病进展,护理人员支持,技术接入和容量,etc),作为治疗发作的一部分,他们可以开始确定将患者与TR的最佳利用相匹配的机会.
    背景:ClinicalTrials.govNCT06246747;https://clinicaltrials.gov/study/NCT06246747。
    BACKGROUND: Individuals with Parkinson disease (PD) can improve their overall mobility and participation in daily activities as they engage in frequent exercise. Despite the need for individually tailored exercises, persons with PD often face barriers to accessing physical rehabilitation professionals who can provide them. Telerehabilitation (TR) may facilitate access to necessary and individually tailored rehabilitation for individuals with PD.
    OBJECTIVE: The purpose of this study was to assess the feasibility of TR for individuals with PD and explore clinical outcomes compared to in-person care.
    METHODS: This was a pilot randomized controlled trial conducted at 2 outpatient neurorehabilitation clinics with 3 study groups: clinic+TR, TR-only, and usual care (UC). TR was administered using a web-based application with a mobile app option. One-hour interventions were performed weekly for 4 weeks, in-person for the clinic+TR and UC groups and virtually for the TR-only group. Home exercises were provided on paper for the UC group and via the web-based platform for the clinic+TR and TR-only groups. Feasibility was assessed by recruitment and retention success and patient and therapist satisfaction, as rated in surveys. Clinical outcomes were explored using performance and patient-reported measures in between- and within-group analyses.
    RESULTS: Of 389 patients screened, 68 (17.5%) met eligibility criteria, and 20 (29.4% of those eligible) were enrolled (clinic+TR, n=6; TR-only, n=6; and UC, n=8). One patient (TR-only) was withdrawn due to a non-study-related injurious fall. Regardless of group allocation, both patients and therapists generally rated the mode of care delivery as \"good\" or \"very good\" across all constructs assessed, including overall satisfaction and safety. In the analysis of all groups, there were no differences in clinical outcomes at the discharge visit. Within-group differences (from baseline to discharge) were also generally not significant except in the UC group (faster 5-time sit-to-stand time and higher mini balance evaluation systems test balance score) and clinic+TR group (higher mini balance evaluation systems test balance score).
    CONCLUSIONS: High satisfaction amongst patients and clinicians regardless of group, combined with nonsignificant between-group differences in clinical outcomes, suggest that TR is feasible for individuals with PD in early-moderate stages. Future trials with a larger sample are necessary to test clinical effectiveness. As larger trials enroll patients with diverse characteristics (eg, in terms of age, disease progression, caregiver support, technology access and capacity, etc), they could begin to identify opportunities for matching patients to the optimal utilization of TR as part of the therapy episode.
    BACKGROUND: ClinicalTrials.gov NCT06246747; https://clinicaltrials.gov/study/NCT06246747.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    本指导文件是代表国际血液学标准化理事会(ICSH)编写的。该文件的目的是为世界所有地区临床实验室中活化部分凝血活酶时间(APTT)和凝血酶原时间(PT)血浆混合测试的性能和解释提供指导和建议。本文件包括以下领域:分析前,分析,分析后,和质量保证考虑因素,因为它们与等离子体混合测试的正确性能和解释有关。这些建议基于良好的实验室实践,在同行评审的文献中发表的数据,和专家意见。
    This guidance document has been prepared on behalf of the International Council for Standardization in Haematology (ICSH). The aim of the document is to provide guidance and recommendations for the performance and interpretation of activated partial thromboplastin time (APTT) and prothrombin time (PT) plasma mixing tests in clinical laboratories in all regions of the world. The following areas are included in this document: preanalytical, analytical, postanalytical, and quality assurance considerations as they relate to the proper performance and interpretation of plasma mixing tests. The recommendations are based on good laboratory practice, published data in peer-reviewed literature, and expert opinion.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    用树枝状化学,我们开发了稳定性增强,羧酸盐表面改性(带负电荷的树突)AuNPs(Au-NCD)。由于Au-NCD的羧酸盐表面最适合与顺铂(Pt)部分络合,我们进一步合成了负载Pt的Au-NCD(Au-NCD/Pt)作为潜在的治疗抗癌药物。大小分布,通过动态光散射表征Au-NCD和Au-NCD/Pt的ζ电位和表面等离子体共振,扫描透射电子显微镜和紫外-可见分光光度法。表面化学,Pt吸收,使用电感耦合等离子体质谱法和X射线光电子能谱评估铂的释放。还评估了在生理介质中宽pH范围(1至13)的胶体稳定性和保质期稳定性(长达6个月)。最后,评估了Au-NCD和Au-NCD/Pt对中国仓鼠卵巢细胞(CHOK1;作为正常细胞系)和人肺上皮细胞(A549;作为癌细胞系)的细胞毒性。使用Au-NCD/Pt的这些物理化学和功能细胞毒性研究的结果表明,这些颗粒表现出最高级的胶体稳定性,顺铂摄取和体外抗癌活性,尽管从缀合物中释放的Pt量很低。
    Using dendron chemistry, we developed stability enhanced, carboxylate surface modified (negatively charged dendron) AuNPs (Au-NCD). Since the carboxylate surface of Au-NCD is optimal for complexation with cisplatin (Pt) moieties, we further synthesized Pt loaded Au-NCD (Au-NCD/Pt) to serve as potential therapeutic anticancer agents. The size distribution, zeta potential and surface plasmon resonance of both Au-NCDs and Au-NCD/Pt were characterized via dynamic light scattering, scanning transmission electron microscopy and ultraviolet-visible spectrophotometry. Surface chemistry, Pt uptake, and Pt release were evaluated using inductively coupled plasma-mass spectrometry and X-ray photoelectron spectroscopy. Colloidal stability in physiological media over a wide pH range (1 to 13) and shelf-life stability (up to 6 months) were also assessed. Finally, the cytotoxicity of both Au-NCD and Au-NCD/Pt to Chinese hamster ovary cells (CHO K1; as a normal cell line) and to human lung epithelial cells (A549; as a cancer cell line) were evaluated. The results of these physicochemical and functional cytotoxicity studies with Au-NCD/Pt demonstrated that the particles exhibited superlative colloidal stability, cisplatin uptake and in vitro anticancer activity despite low amounts of Pt release from the conjugate.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    虽然对电化学析氢反应(HER)有效,Pt受限于其成本和稀有性。传统的Pt催化剂和Pt单原子(aPt)催化剂(Pt-SAC)在以超低Pt负载量维持动力学上有利的HER途径(Volmer-Tafel)方面面临挑战。在这里,在不添加还原剂的情况下,碳促进的aPts沉积在RuO2上。aPts限制在碳支持的RuO2纳米棒(aPt/RuO2NR/碳)促进\"inter-aPts\"Tafel。aPt/RuO2NR/Carbon是保留潜在沉积H的Pt-SAC;此外,其发作过电位为“负”。aPt/RuO2NR/Carbon的Pt质量活性(imPt)/周转频率(TOF)(522.7Amg-1/528.4s-1)比市售Pt/C(1.9Amg-1/1.9s-1)高260倍。在超低的Pt负载(0.19μgcm-2)中,HER速率确定步骤保持Volmer-Tafel,Pt利用效率为100.3%。
    While efficient for electrochemical hydrogen evolution reaction (HER), Pt is limited by its cost and rarity. Traditional Pt catalysts and Pt single-atom (aPt) catalysts (Pt-SACs) face challenges in maintaining kinetically favorable HER pathways (Volmer-Tafel) at ultralow Pt loadings. Herein, carbon-promoted aPts were deposited on RuO2 without the addition of reductants. aPts confined on carbon-supported RuO2 nanorods (aPt/RuO2NR/Carbon) promoted \"inter-aPts\" Tafel. aPt/RuO2NR/Carbon is the Pt-SAC that retained underpotentially deposited H; additionally, its HER onset overpotential was \"negative\". The aPt/RuO2NR/Carbon exhibited 260-fold higher Pt mass activity (imPt)/turnover frequency (TOF) (522.7 A mg-1/528.4 s-1) than that of commercial Pt/C (1.9 A mg-1/1.9 s-1). In an ultralow Pt loading (0.19 μg cm-2), the HER rate-determining step maintained Volmer-Tafel and the Pt utilization efficiency was 100.3%.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    在这项研究中,我们研究了通过超临界流体反应沉积(SFRD)在二氧化钛(TiO2)粉末上沉积的单-和双金属钯(Pd)和铂(Pt)纳米颗粒的催化性能。透射电子显微镜分析证实,在353K和15.6MPa下进行的SFRD实验能够在TiO2上沉积小于3nm的均匀单金属和双金属纳米颗粒。电子分散X射线光谱证明了双金属PdPt纳米颗粒的合金型结构的形成。H2O2是生产精细和散装化学品的优良氧化剂。然而,直到今天,具有高H2O2选择性和生产率的催化剂的设计和制备仍然是巨大的挑战。这项研究的重点是回答以下问题:(a)所生产的催化剂是否适合在液相中直接合成过氧化氢(H2O2),以及(b)金属类型如何影响催化性能。发现金属类型(Pd或Pt)强烈影响催化性能;单金属和双金属催化剂的平均生产率按以下顺序降低:Pd>PdPt>Pt。此外,与通过初始润湿浸渍制备的催化剂相比,通过SFRD制备的所有催化剂均显示出显着更高的平均生产率。
    In this study, we investigated the catalytic properties of mono- and bimetallic palladium (Pd) and platinum (Pt) nanoparticles deposited via supercritical fluid reactive deposition (SFRD) on titanium dioxide (TiO2) powder. Transmission electron microscopy analyses verified that SFRD experiments performed at 353 K and 15.6 MPa enabled the deposition of uniform mono- and bimetallic nanoparticles smaller than 3 nm on TiO2. Electron-dispersive X-ray spectroscopy demonstrated the formation of alloy-type structures for the bimetallic PdPt nanoparticles. H2O2 is an excellent oxidizing reagent for the production of fine and bulk chemicals. However, until today, the design and preparation of catalysts with high H2O2 selectivity and productivity remain a great challenge. The focus of this study was on answering the questions of (a) whether the catalysts produced are suitable for the direct synthesis of hydrogen peroxide (H2O2) in the liquid phase and (b) how the metal type affects the catalytic properties. It was found that the metal type (Pd or Pt) influenced the catalytic performance strongly; the mean productivity of the mono- and bimetallic catalysts decreased in the following order: Pd > PdPt > Pt. Furthermore, all catalysts prepared by SFRD showed a significantly higher mean productivity compared to the catalyst prepared by incipient wetness impregnation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    COVID-19在疾病严重程度的进展过程中调节许多血清学生物标志物。该研究旨在确定血清谱中与COVID-19严重程度相关的扰动。
    完成了一项包括COVID-19阳性个体(n=405)的回顾性研究。COVID-19参与者的血清谱是从实验室记录中提取的。使用Pearson相关性评估血清谱中的严重程度相关改变,回归,VCramer,贝叶斯后验VCramer,和偏倚因子使用R-base-RStudio-version-3.3.0,显著截止p<0.05。
    C反应蛋白(CRP)的平均值±标准偏差(SD)(高度与中度重度)显着不同,铁蛋白,中性粒细胞-淋巴细胞比率(NLR),D-二聚体,血小板,凝血酶原时间(PT),部分凝血酶原时间(PTT),肌钙蛋白1,乳酸脱氢酶(LDH),天冬氨酸转氨酶(AST),丙氨酸氨基转移酶(ALT),和AST/ALT比值观察(p<0.001)。高度严重的COVID-19与CRP相关,铁蛋白,NLR,在D-二聚体中,PT,PTT,肌钙蛋白1,AST/ALT比值,AST和ALT(调整比值比(AOR):1.346,1.05,1.46,1.33,1.42,1.23,4.07,3.9,1.24,1.45,p<0.001)。CRP与铁蛋白(r=0.743),NLR(r=0.77),白细胞(WBC)(r=0.8),肌钙蛋白1与LDH(r=0.757),D-二聚体与血小板高度相关(r=-0.81)。X2pearson(p<0.001),VCramer(0.71),贝叶斯-VCramer(0.7),肌钙蛋白1的偏倚因子(-125)表明肌钙蛋白1水平与COVID-19严重程度密切相关。X2pearson(p<0.001),VCramer(1),贝叶斯-VCramer(0.98),NLR的偏倚因子(-266.3)显示出病理状况与疾病严重程度非常强的关联。
    这些炎症生物标志物(CRP,铁蛋白,NLR),凝血障碍(D-二聚体,PT,和PTT)心脏异常(肌钙蛋白1),在低医疗资源环境中,肝损伤(AST/ALT)可能是COVID-19严重程度和临床结局的潜在预测因子。此外,这项研究的结果可用于SARS-CoV或中东呼吸道冠状病毒(MERS-CoV)感染期间疾病严重程度的早期预测.
    UNASSIGNED: COVID-19 modulates many serological biomarkers during the progress of disease severity. The study aimed to determine COVID-19 severity-associated perturbance in the serum profile.
    UNASSIGNED: A retrospective study including COVID-19-positive individuals (n = 405) was accomplished. The serum profile of COVID-19 participants was mined from laboratory records. Severity-associated alteration in the serum profile was evaluated using Pearson correlation, regression, VCramer, Bayesian posterior VCramer, and bias factor using R-base-RStudio-version-3.3.0 with a significant cut-off of p < 0.05.
    UNASSIGNED: Significantly different mean ± standard deviation (SD) (highly versus moderately severe) of C-reactive protein (CRP), ferritin, neutrophil-lymphocyte ratio (NLR), D-dimer, platelets, prothrombin time (PT), partial prothrombin time (PTT), troponin 1, lactate dehydrogenase (LDH), aspartate-aminotransferase (AST), alanine aminotransferase (ALT), and AST/ALT ratio was observed (p < 0.001). Highly severe COVID-19 associated with CRP, ferritin, NLR, in D-dimer, PT, PTT, troponin 1, AST/ALT ratio, AST and ALT (adjusted odds ratio (AOR): 1.346, 1.05, 1.46, 1.33, 1.42, 1.23, 4.07, 3.9, 1.24, 1.45, p < 0.001). CRP with ferritin (r = 0.743), NLR (r = 0.77), white blood cells (WBC) (r = 0.8), troponin1 with LDH (r = 0.757), and D-dimer with platelets (r = -0.81) were highly correlated. X2pearson (p < 0.001), VCramer (0.71), Bayesian-VCramer (0.7), and bias-factor (-125) for troponin 1 indicate the strong association of troponin 1 level and with COVID-19 severity. X2pearson (p < 0.001), VCramer (1), Bayesian-VCramer (0.98), and bias-factor (-266.3) for NLR exhibited a very strong association of pathologic conditions with the high severity of the disease.
    UNASSIGNED: These biomarkers of inflammation (CRP, Ferritin, NLR), coagulation disorders (D-dimer, PT, and PTT) cardiac abnormality (troponin 1), and liver injury (AST/ALT) could be crucial in low-medical resource settings as potential prognosticator/predictors of the COVID-19 severity and clinical outcomes. Moreover, the outcome of this study could be leveraged for the early prediction of disease severity during SARS-CoV or Middle East Respiratory Coronavirus (MERS-CoV) infection.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    疟疾感染导致血液学异常,包括凝血酶原时间(PT)紊乱。鉴于不同严重程度以及恶性疟原虫和间日疟原虫之间关于疟疾PT的发现不一致,本研究旨在综合临床疟疾患者PT变异的现有证据.在PubMed进行了系统的文献检索,Embase,Scopus,奥维德,和Medline于2021年11月27日至2023年3月2日获得记录疟疾PT的研究。研究质量使用JoannaBriggs研究所检查表进行评估,通过定性和定量方法综合数据,包括荟萃回归和亚组分析,探讨异质性和发表偏倚。从2767篇文章中,包括21项研究。大多数研究报告说,与对照组相比,疟疾患者的PT延长或增加,荟萃分析证实了这一发现(P<0.01,平均差:8.86s,95%CI5.32-12.40s,I2:87.88%,4项研究)。重症疟疾病例的PT也明显高于非重症病例(P=0.03,Hedges\sg:1.65,95%CI0.20-3.10,I2:97.91%,7项研究)。在恶性疟原虫和间日疟原虫感染之间没有观察到显着的PT差异(P=0.88,平均差异:0.06,95%CI-0.691-0.8,I2:65.09%,2项研究)。PT与疟疾相关死亡率之间的关系仍不清楚。强调需要进一步研究。疟疾患者的PT通常会延长或增加,特别是在严重的情况下,恶性疟原虫和间日疟原虫感染之间没有显着差异。致命和非致命病例之间PT结果的不一致突出了当前理解的差距,强调未来研究为治疗策略提供信息的必要性。
    Malaria infection leads to hematological abnormalities, including deranged prothrombin time (PT). Given the inconsistent findings regarding PT in malaria across different severities and between Plasmodium falciparum and P. vivax, this study aimed to synthesize available evidence on PT variations in clinical malaria. A systematic literature search was performed in PubMed, Embase, Scopus, Ovid, and Medline from 27 November 2021 to 2 March 2023 to obtain studies documenting PT in malaria. Study quality was evaluated using the Joanna Briggs Institute checklist, with data synthesized through both qualitative and quantitative methods, including meta-regression and subgroup analyses, to explore heterogeneity and publication bias. From 2767 articles, 21 studies were included. Most studies reported prolonged or increased PT in malaria patients compared to controls, a finding substantiated by the meta-analysis (P < 0.01, Mean difference: 8.86 s, 95% CI 5.32-12.40 s, I2: 87.88%, 4 studies). Severe malaria cases also showed significantly higher PT than non-severe ones (P = 0.03, Hedges\'s g: 1.65, 95% CI 0.20-3.10, I2: 97.91%, 7 studies). No significant PT difference was observed between P. falciparum and P. vivax infections (P = 0.88, Mean difference: 0.06, 95% CI - 0.691-0.8, I2: 65.09%, 2 studies). The relationship between PT and malaria-related mortality remains unclear, underscoring the need for further studies. PT is typically prolonged or increased in malaria, particularly in severe cases, with no notable difference between P. falciparum and P. vivax infections. The inconsistency in PT findings between fatal and non-fatal cases highlights a gap in current understanding, emphasizing the need for future studies to inform therapeutic strategies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号