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1.
J Appl Math Comput ; 68(4): 2533-2549, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34539297

RESUMEN

Infectious diseases have a devastating impact on individual health and social development. Different external environmental factors will affect the scale and the speed of disease outbreaks, such as sanitary conditions and policy interventions. In this paper, we attempt to establish a dual-system susceptible-infectious-quarantine-recovered model with different environmental impacts to explore it. For the deterministic model, we calculate the basic reproduction number, simultaneously, and investigate the local asymptotic stability of the disease-free equilibrium and the endemic equilibrium. Numerical simulations and theoretical analyses verify the conclusion of this paper. It is a surprise that there is a great probability of finding a quarantine inflection point, which can effectively control the scale of infection outbreak when two different systems of infection rate and recovery rate are determined.

2.
J Hum Genet ; 63(5): 579-587, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29476189

RESUMEN

The current study was aimed to investigate the association of CLTA-4/Foxp3 polymorphisms and chromosomal abnormalities with recurrent spontaneous abortion (RSA) risk in a Chinese Han population. Altogether, 1284 RSA women and 1046 women with normal pregnancy were incorporated in this study. The polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was implemented to genotype the single-nucleotide polymorphisms (SNPs) located within CTLA4 and Foxp3. Moreover, the cytogenetic diagnosis was performed in line with the standards of G banding karyotype. As a consequence, rs231775 and rs3087243 of CTLA4, as well as rs2232365 and rs2232368 of Foxp3, all appeared to modify the risk of RSA. Besides, significant differences were found between the ratio of structural abnormality and that of numerical abnormality (P < 0.038), and chromosome abnormality was associated with higher miscarriage frequency (>3) than normal karyotypes. Of note, the synergic effects of the genotypes and chromosomal abnormality all tallied with the sub-multiplication model (ORchromosome × ORSNP > ORchromosome+SNP), while rs2232365 GG and chromosomal aberration impacted the RSA risk in a super-multiplicative way that ORchromosome × ORSNP < ORchromosome+SNP. In conclusion, susceptibility to RSA was subject to the synthetic regulation of chromosomal aberrations and genetic mutations within CLTA-4 and Foxp3, suggesting that the conduction of karyotype analysis and genetic detection for RSA patients could effectively guide effective RSA counseling and sound child rearing.


Asunto(s)
Aborto Habitual/genética , Antígeno CTLA-4/genética , Aberraciones Cromosómicas , Factores de Transcripción Forkhead/genética , Estudios de Asociación Genética , Predisposición Genética a la Enfermedad , Genotipo , Alelos , Estudios de Casos y Controles , Femenino , Frecuencia de los Genes , Haplotipos , Humanos , Cariotipo , Desequilibrio de Ligamiento , Mutación , Oportunidad Relativa , Polimorfismo de Nucleótido Simple
3.
J Med Syst ; 40(6): 134, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27091755

RESUMEN

As a significant part of the Internet of Things (IoT), Wireless Body Area Network (WBAN) has attract much attention in this years. In WBANs, sensors placed in or around the human body collect the sensitive data of the body and transmit it through an open wireless channel in which the messages may be intercepted, modified, etc. Recently, Wang et al. presented a new anonymous authentication scheme for WBANs and claimed that their scheme can solve the security problems in the previous schemes. Unfortunately, we demonstrate that their scheme cannot withstand impersonation attack. Either an adversary or a malicious legal client could impersonate another legal client to the application provider. In this paper, we give the detailed weakness analysis of Wang et al.'s scheme at first. Then we present a novel anonymous authentication scheme for WBANs and prove that it's secure under a random oracle model. At last, we demonstrate that our presented anonymous authentication scheme for WBANs is more suitable for practical application than Wang et al.'s scheme due to better security and performance. Compared with Wang et al.'s scheme, the computation cost of our scheme in WBANs has reduced by about 31.58%.


Asunto(s)
Seguridad Computacional , Monitoreo Ambulatorio/instrumentación , Telemetría/métodos , Tecnología Inalámbrica/organización & administración , Algoritmos , Confidencialidad , Humanos
4.
Tumour Biol ; 36(3): 1993-2005, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25431259

RESUMEN

With cancer being a major cause of death worldwide, microRNAs (miRNAs) have been investigated as novel and non-invasive biomarkers for cancer diagnosis. Recently, microRNA-21 (miR-21) attracts much attention for its aberrant expression and has been widely studied in various cancers. However, the inconsistent results from studies make it hard to evaluate the diagnostic value of miR-21 in cancer diagnosis, which lead us to conduct this meta-analysis. We conducted a comprehensive literature search in the Medline, Embase, PubMed, CNKI, and Web of Science before July 1, 2014. STATA 12.0 software was used for calculation and statistical analysis. The pooled sensitivity, specificity, positive and negative likelihood ratio (PLR, NLR), and diagnostic odds ratio (DOR) were used to assess the diagnostic performance of miR-21 for cancers. Seventy-three studies in 60 articles were involved in this meta-analysis, with a total of 4684 patients with cancer and 3108 controls. The overall parameters were calculated from all the included studies: sensitivity of 0.78 (95% confidence interval (CI) 0.74-0.81), specificity of 0.83 (95% CI 0.80-0.86), PLR of 4.5 (95% CI 3.8-5.4), NLR of 0.27 (95% CI 0.23-0.32); DOR of 17 (95% CI 12-23), and area under the curve (AUC) of 0.88 (95% CI 0.84-0.90). In addition, we performed subgroup analyses based on ethnicity, cancer types, and sample types. Results from subgroup analysis showed that cancer types and sample types were the sources of heterogeneity in our meta-analysis. The overall diagnostic value of miR-21 is not very high for cancer diagnosis; however, it is affected significantly by the types of cancer and specimen. MiR-21 has a relatively high diagnostic value for detecting breast cancer, and miR-21 assays based on plasma, serum, and tissue achieved relatively higher accuracy.


Asunto(s)
Biomarcadores de Tumor/genética , MicroARNs/genética , Neoplasias/diagnóstico , Neoplasias/genética , Anciano , Estudios de Casos y Controles , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad
5.
Math Biosci Eng ; 21(2): 2282-2301, 2024 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-38454683

RESUMEN

The article investigates the issue of fixed-time control with adaptive output feedback for a twin-roll inclined casting system (TRICS) with disturbance. First, by using the mean value theorem, the nonaffine functions are decoupled to simplify the system. Second, radial basis function neural networks (RBFNNs) are introduced to approximate an unknown term, and a nonlinear neural state observer is created to handle the effects of unmeasured states. Then, the backstepping design framework is combined with prescribed performance and command filtering techniques to demonstrate that the scheme proposed in this article guarantees system performance within a fixed-time. The control design parameters determine the upper bound of settling time, regardless of the initial state of the system. Meanwhile, it ensures that all signals in the closed-loop system (CLS) remain bounded, and it can also maintain the tracking error within a predefined range within a fixed time. Finally, simulation results assert the effectiveness of the method.

6.
Sci Rep ; 14(1): 4042, 2024 02 19.
Artículo en Inglés | MEDLINE | ID: mdl-38369589

RESUMEN

Thyroid hormone receptor interactor 6 (TRIP6) it is an adaptor protein belonging to the zyxin family of LIM proteins, participating in signaling events through interactions with various molecules. Despite this, TRIP6's role in colorectal cancer (CRC), particularly its correlation with glucose metabolism and immune cell infiltration, remains unclear. Through the TCGA and GEO databases, we obtained RNA sequencing data to facilitate our in-depth study and analysis of TRIP6 expression. To investigate the prognostic value of TRIP6 in CRC, we also used univariate Cox regression analysis. In addition, this study also covered a series of analyses, including clinicopathological analysis, functional enrichment analysis, glycolysis correlation analysis, immunoinfiltration analysis, immune checkpoint analysis, and angiogenesis correlation analysis, to gain a comprehensive and in-depth understanding of this biological phenomenon. It has been found that TRIP6 expression is significantly upregulated in CRC and correlates with the stage of the disease. Its overexpression portends a worse survival time. Functional enrichment analysis reveals that TRIP6 is associated with focal adhesion and glycolysis. Mechanistically, TRIP6 appears to exert its tumorigenic effect by regulating the glycolysis-related gene GPI. A higher level of expression of TRIP6 is associated with an increase in the number of iDC immune cells and a decrease in the number of Th1 immune cells. Also, TRIP6 may promote angiogenesis in tumor cells by promoting the expression of JAG2. Our study uncovers the upregulation of TRIP6 in CRC, illuminating its prognostic and diagnostic value within this context. Furthermore, we examine the relationship between TRIP6 expression levels, glycolysis, angiogenesis and immune cell infiltration. This underscores its potential as a biomarker for CRC treatment and as a therapeutic target.


Asunto(s)
Proteínas Adaptadoras Transductoras de Señales , Neoplasias Colorrectales , Proteínas con Dominio LIM , Factores de Transcripción , Humanos , Proteínas Adaptadoras Transductoras de Señales/genética , Proteínas Adaptadoras Transductoras de Señales/metabolismo , Neoplasias Colorrectales/diagnóstico , Neoplasias Colorrectales/genética , Neoplasias Colorrectales/patología , Glucólisis , Proteínas con Dominio LIM/genética , Proteínas con Dominio LIM/metabolismo , Complejo de la Endopetidasa Proteasomal/metabolismo , Factores de Transcripción/genética , Factores de Transcripción/metabolismo
7.
ISA Trans ; 132: 346-352, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35715270

RESUMEN

The paper mainly focuses on the fault estimation for a class of Takagi-Sugeno (T-S) fuzzy systems with faults. A synthetic estimation observer design method is proposed. The synthetic estimation observer can cover the robust observer, adaptive observer and intermediate estimation observer in the existing study work. Based on the observer design method, an LTF-based sliding mode observer (SMO) is designed for the T-S fuzzy system in consideration. Under the observer, the fault occurring in the system can be well estimated. The obtained LMI-based conditions guarantee the states of the error dynamics to be uniformly ultimately bounded. A numerical example tests the proposed method.

8.
ISA Trans ; 132: 258-266, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35752479

RESUMEN

This paper is devoted to the prescribed performance control (PPC) for a class of strict-feedback nonlinear systems with input saturation constraints. With the help of an improved tuning function, the system can achieve the desired steady-state and transient performance in the pre-designed time. A new error transformation function is introduced, which has inherent robustness, so it does not need to use any approximation technique or calculate the analytical derivative. Compared with the relevant results, the proposed scheme has the same lower complexity, but better transient and steady-state performance, although there exists uncertain nonlinearity and uncertain disturbances in the system. Finally, the correctness of the above algorithm is verified by simulation experiments.

9.
IEEE Trans Cybern ; PP2023 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-37535491

RESUMEN

Mode collapse has been a persisting challenge in generative adversarial networks (GANs), and it directly affects the applications of GAN in many domains. Existing works that attempt to solve this problem have some serious limitations: models using optimal transport (OT) strategies (e.g., Wasserstein distance) lead to vanishing or exploding gradients; increasing the number of generators can cause several generators focusing on the same mode; and approaches that modify the loss also do not satisfactorily resolve mode collapse. In this article, we reduce mode collapse by formulating it as a Monge problem of OT map. We show that the Monge problem can be transformed to the distribution transformation problem in GAN, and a rectified affine neural network can be considered as a measurable function. In this way, we propose Monge GAN that uses this measurable function to transform the generated data distribution into the original data distribution. We utilize the Kantorovich formulation to obtain the OT cost, which is regarded as the OT distance between the two distributions. Finally, we conduct extensive experiments on both image and numerical datasets to validate our Monge GAN in reducing model collapse.

10.
IEEE Trans Neural Netw Learn Syst ; 32(2): 695-707, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-32275609

RESUMEN

This article is concerned with a neural adaptive tracking control scheme for a class of multiinput and multioutput (MIMO) nonaffine nonlinear systems with event-triggered mechanisms, which include the fixed thresholds, triggering control inputs, and decreasing functions of tracking errors. Unlike the existing results of nonaffine nonlinear controller decoupling, a novel nonlinear multiple control inputs separated design method is proposed based on the mean-value theorem and the Taylor expansion technique. By this way, a weaker condition of nonlinear decoupling is provided to instead of the previous ones. Then, introducing a prescribed performance barrier Lyapunov function (PPBLF) and using neural networks (NNs), the presented event-triggered controller can maintain better tracking performance and effectively alleviate the computation burden of the communication procedure. Furthermore, it is proved that all the closed-loop signals are bounded and the system output tracking errors are confined within the prescribed bounds. Finally, the simulation results are given to demonstrate the validity of the developed control scheme.

11.
IEEE Trans Cybern ; 51(12): 6054-6065, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32011281

RESUMEN

In this article, an adaptive fuzzy tracking control scheme is developed for a class of uncertain switched nonlinear systems with input saturations and full-state constraints. First to surmount the design difficulty with respect to a saturation nonlinearity controller, a nonlinear smooth function approximating the nondifferential saturation function is introduced to establish a standard switched adaptive tracking control strategy based on the mean-value theorem and the input compensation technique. Then, invoking fuzzy-logic systems (FLSs), a novel analysis method of average dwell time for switched nonlinear systems with full-state constraints is proposed by using an artful logarithmic inequality. Furthermore, the designed adaptive controller can ensure that all the states of uncertain switched nonlinear systems are not to violate the set constraint bounds by employing barrier Lyapunov functions (BLFs), and that the system output tracking error can converge to a desired neighborhood of the origin within a suitable compact set. Finally, the simulation results are given to demonstrate the validity of the presented approach.


Asunto(s)
Redes Neurales de la Computación , Dinámicas no Lineales , Algoritmos , Simulación por Computador , Lógica Difusa
12.
ISA Trans ; 108: 121-130, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32861476

RESUMEN

The problem of event-triggered prescribed performance control for a class of uncertain nonlinear systems with unknown control directions and faults is investigated. Compared with the existing methods, a new set of error transformation functions is defined for the first time. Although no approximate structure is adopted, prescribed performance control (PPC) and event triggered control (ETC) are realized simultaneously for the nonlinear system considered in this paper for the first time. The proposed control scheme can guarantee that all closed-loop signals are bounded, and the tracking error, as well as all state errors, converges within the adjustable constraint functions. Finally, two simulation experiments verify the effectiveness of the proposed algorithm.

13.
Front Oncol ; 11: 665388, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34123828

RESUMEN

BACKGROUND: Glucose transporter 1 (GLUT1) is encoded by the solute carrier family 2A1 (SLC2A1) gene and is one of the glucose transporters with the greatest affinity for glucose. Abnormal expression of GLUT1 is associated with a variety of cancers. However, the biological role of GLUT1 in esophageal carcinoma (ESCA) remains to be determined. METHODS: We analyzed the expression of GLUT1 in pan-cancer and ESCA as well as clinicopathological analysis through multiple databases. Use R and STRING to perform GO/KEGG function enrichment and PPI analysis for GLUT1 co-expression. TIMER and CIBERSORT were used to analyze the relationship between GLUT1 expression and immune infiltration in ESCA. The TCGA ESCA cohort was used to analyze the relationship between GLUT1 expression and m6A modification in ESCA, and to construct a regulatory network in line with the ceRNA hypothesis. RESULTS: GLUT1 is highly expressed in a variety of tumors including ESCA, and is closely related to histological types and histological grade. GO/KEGG functional enrichment analysis revealed that GLUT1 is closely related to structural constituent of cytoskeleton, intermediate filament binding, cell-cell adheres junction, epidermis development, and P53 signaling pathway. PPI shows that GLUT1 is closely related to TP53, GIPC1 and INS, and these three proteins all play an important role in tumor proliferation. CIBERSORT analysis showed that GLUT1 expression is related to the infiltration of multiple immune cells. When GLUT1 is highly expressed, the number of memory B cells decreases. ESCA cohort analysis found that GLUT1 expression was related to 7 m6A modifier genes. Six possible crRNA networks in ESCA were constructed by correlation analysis, and all these ceRNA networks contained GLUT1. CONCLUSION: GLUT1 can be used as a biomarker for the diagnosis and treatment of ESCA, and is related to tumor immune infiltration, m6A modification and ceRNA network.

14.
IEEE Trans Cybern ; 50(8): 3793-3805, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31545765

RESUMEN

In this article, the adaptive fault-tolerant tracking control problem of nonaffine stochastic nonlinear systems with actuator failures and full-state constraints is studied. To surmount the design difficulty from nonaffine nonlinear term with multi-input and single-output (MISO) faulty modes, a novel nonlinear fault compensation function with adjustable parameter factor is first introduced to establish a standard adaptive fault-tolerant control (AFTC) strategy based on the mean-value theorem. Then, the remaining nonlinear function, including the partial loss of effectiveness, outage, and stuck cases, together with the constructed compound nonlinear function can be approximated by using the suitable fuzzy-logic system (FLS). Moreover, it is shown that all the states of nonaffine stochastic nonlinear systems are not violating the preset constraint bounds by employing the barrier Lyapunov functions (BLFs). Also, the given adaptive controller can guarantee all the closed-loop signals are uniformly ultimately bounded (UUB) in probability in the sense of fourth-moment within the appropriate compact sets. Finally, two simulation examples are given to demonstrate the validity of the proposed method.

15.
IEEE Trans Cybern ; 50(5): 2176-2185, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-30575554

RESUMEN

The convergent estimation for a class of nonlinear Takagi-Sugeno fuzzy systems is concerned, where time-varying process faults and input disturbances are both involved. A convergent estimation mechanism (CEM) based on a set of fuzzy iterative estimation observers is constructed for the nonlinear fuzzy system; meanwhile, the convergence of the mean sequence of estimation errors (for both states and faults) to zero (vector) is proved. However, in the existing literature, the estimation errors can only be proved to be uniformly ultimately bounded when the fault is time varying. In the design procedure, the disturbances on systems in consideration can be isolated effectively in the obtained fuzzy iterative error dynamics through introducing a suitable isolation technique. Numerical examples give the simulation results to show the effectiveness and merits of the proposed CEM.

16.
Medicine (Baltimore) ; 99(11): e19485, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32176084

RESUMEN

Urgent endoscopy (UE) is important to the diagnosis and treatment of liver cirrhosis patients with esophageal variceal bleeding (EVB). It was reported that a second-look endoscopy may benefit acute upper gastrointestinal bleeding (UGIB) caused by peptic ulcer, while whether it could improve UGIB caused by liver cirrhosis associated EVB remains unclear. This study aimed to investigate the characteristics of second UE for liver cirrhosis with EVB and further examined the potential prognostic factors.Patients aged ≥18 years who underwent UE for EVB within 2 hours after the admission were included and divided into scheduled second-look group (n = 245) and uncontrolled bleeding group (n = 352) based on the indications for second UE within 48 hours after initial endoscopy. Demographic and clinical data were collected and analyzed. Univariate and multivariate analysis were used to identify the risk factors for prognosis. The value of different scoring system was compared.Statistical differences were found on history of bleeding and hepatocellular carcinoma, ascites, endoscopic type of bleeding, between scheduled second-look group and uncontrolled bleeding group. Univariate and multivariate logistic regression analysis confirmed that ascites, hemoglobin <60 g/L, AIMS65 score and failure to identify in initial UE were independent risk factors for bleeding uncontrolled after initial UE, and age, bilirubin level, initial unsatisfactory UE hemostasis, failure to identify bleeding on initial UE and tube/urgent TIPS suggested in initial UE were independent risk factors for 42-day mortality.A second-look UE could bring benefit for liver cirrhosis patients with EVB without increasing the complication rate.


Asunto(s)
Várices Esofágicas y Gástricas/terapia , Hemorragia Gastrointestinal/terapia , Hemostasis Endoscópica/estadística & datos numéricos , Cirrosis Hepática/complicaciones , Segunda Cirugía/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , China , Árboles de Decisión , Várices Esofágicas y Gástricas/complicaciones , Várices Esofágicas y Gástricas/mortalidad , Femenino , Hemorragia Gastrointestinal/complicaciones , Hemorragia Gastrointestinal/mortalidad , Humanos , Modelos Logísticos , Masculino , Registros Médicos , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Factores de Riesgo , Índice de Severidad de la Enfermedad , Adulto Joven
17.
IEEE Trans Neural Netw Learn Syst ; 28(3): 726-739, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-26685268

RESUMEN

This paper investigates the problem of adaptive output neural network (NN) control for a class of stochastic nonaffine and nonlinear systems with actuator dead-zone inputs. First, based on the intermediate value theorem, a novel design scheme that converts the nonaffine system into the corresponding affine system is developed. In particular, the priori knowledge of the bound of the derivative of the nonaffine and nonlinear functions is removed; then, by employing NNs to approximate the appropriate nonlinear functions, the corresponding adaptive NN tracking controller with the adjustable parameter updated laws is designed through a backstepping technique. Furthermore, it is shown that all the closed-loop signals are bounded in probability, and the system output tracking error can converge to a small neighborhood in the sense of a mean quartic value. Finally, experimental simulations are provided to demonstrate the efficiency of the proposed adaptive NN tracking control method.

18.
Food Chem ; 228: 560-566, 2017 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-28317763

RESUMEN

The effects of organic additives (Irgafos 168, Irganox 1076, Tinuvin 622, Chimassorb 944, UV-P, and UV-531) on silver release from nanosilver-polyethylene composite films into an acidic food simulant (3% acetic acid) were investigated using inductively coupled plasma mass spectrometry. The limits of detection and quantification, coefficient of determination, and recoveries of the method used were 3.7ngL-1, 12.4ngL-1, 0.999, and 89-113%, respectively. The results indicated that additives can affect silver release via two simultaneous processes: (i) reactions between organic additives and silver that promote silver release from the composite film to the acidic food simulant; and (ii) the promotion or inhibition of silver release by affecting silver oxidation. High temperature and humidity treatment of the composite films was found to significantly increase silver release by promoting silver oxidation.


Asunto(s)
Contaminación de Alimentos/análisis , Embalaje de Alimentos/métodos , Polietileno/química , Plata/química
19.
Artículo en Inglés | MEDLINE | ID: mdl-26209184

RESUMEN

The effect of exposure time, temperature and food simulants, especially additives, on the release of silver from nanosilver-polyethylene composite films to food simulants was studied. Two different type of nanosilver-polyethylene composite films (with or without additives) were chosen to conduct the experiment with the aim of exploring the behaviour of silver migration. It was shown that the migration of silver into 50% ethanol at 40 and 70°C was much less than that into 3% acetic acid. With the increase of exposure time and temperature, the release of silver increased. The migration even continued after a long exposure time (14 days at 20°C, 10 days at 40°C, and 6 days at 70°C respectively). Only about 0.15‰ of silver migrated from composite films with the additives into 3% acetic acid after 6 days of exposure at 70°C, while about 1.3% of silver migrated from composite films that did not contain additives under the same conditions. This could be because the addition of the antioxidants and light stabilisers prevents silver from being oxidised, which is an important way for the release of silver.


Asunto(s)
Antioxidantes/química , Aditivos Alimentarios/química , Análisis de los Alimentos , Embalaje de Alimentos , Luz , Nanopartículas del Metal/química , Polietileno/química , Plata/análisis , Acetatos/química , Etanol/química , Temperatura , Factores de Tiempo
20.
Oncol Lett ; 9(1): 347-350, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25435990

RESUMEN

The purpose of the present study was to characterize uncommon portosystemic collateral circulation in hepatic cirrhosis. Portosystemic uncommon collateral circulation (UCC) was detected, characterized and evaluated by a combination of spiral computed tomography angiography, three-dimensional imaging angiography and electronic gastroscopy in patients diagnosed with hepatic cirrhosis. In total, 118 cases with UCC were detected from a pool of 700 hepatic cirrhosis patients with portal hypertension. The incidence was 16.86% and included cases with splenic-renal, gastro-renal, paravertebral, retroperitoneal, gastric-splenic and cardio-phrenic angle vein shunts. The occurrence rate of UCC formation increased with the Child-Pugh grade. Compared with common collateral circulations, the incidence of severe esophageal or gastric fundus varicose veins, severe portal hypertensive gastropathy and the incidence of a large quantity of ascites was much lower in the patients with UCC (P<0.01), whereas the incidence of hepatic encephalopathy and chronic elevated blood ammonia levels was significantly higher (P<0.01). The incidence of uncommon portosystemic collateral circulation is extremely common in patients with liver cirrhosis and is associated with the Child-Pugh grades of hepatic function. UCC can aid in the relief of the complications derived from portal hypertension, but it may increase the incidence of hepatic encephalopathy and chronic elevated blood ammonia levels.

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