Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 384
Filtrar
Mais filtros

País/Região como assunto
Tipo de documento
Intervalo de ano de publicação
1.
BMC Cancer ; 24(1): 159, 2024 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-38297199

RESUMO

This study was designed to evaluate the safety and feasibility of laparoscopic radical cystectomy (LRC) for male octogenarian patients with muscle-invasive bladder cancer (MIBC). Briefly, a total of 57 male octogenarian patients (A group) with bladder carcinoma were enrolled and underwent LRC and intracorporeal pelvic lymph node dissection with bilateral cutaneous ureterostomy from May 2016 to December 2022. Besides, 63 male patients (age < 80 years old) with bladder carcinoma undergoing LRC and 17 octogenarian male patients with bladder carcinoma undergoing open radical cystectomy (ORC) were enrolled in B and C groups as control. All perioperative clinical materials and outcomes of long-term follow-up, and complication were collected. The specific results were shown as follows. Compared with C group, the operation time and resected lymph node in A group was increased, and the estimated blood loss, the number of transfusion needed, duration of pelvic drainage and hospital stay after surgery was decreased. The death rate and ileus complication rate were higher in A group (12 cases) than in C group (15 cases). The cases of ureteral stricture in A group (13 cases) was decreased compared with that in C group. Overall, LRC and bilateral cutaneous ureterostomy are safe, feasible and better choices for the treatment of male octogenarian patients with MIBC. The octogenarian receiving cutaneous ureterostomy heals slowly and exists certain incomplete intestinal obstruction after surgery.


Assuntos
Carcinoma , Laparoscopia , Neoplasias da Bexiga Urinária , Idoso de 80 Anos ou mais , Humanos , Masculino , Cistectomia/efeitos adversos , Cistectomia/métodos , Bexiga Urinária/patologia , Octogenários , Laparoscopia/efeitos adversos , Laparoscopia/métodos , Estudos de Viabilidade , Resultado do Tratamento , Neoplasias da Bexiga Urinária/cirurgia , Neoplasias da Bexiga Urinária/patologia , Carcinoma/cirurgia , Músculos/patologia
2.
BMC Cardiovasc Disord ; 24(1): 166, 2024 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-38504170

RESUMO

BACKGROUND: Cardiovascular disease (CVD) is one among the major causes of mortality all round the globe. Several anti-platelet regimens have been proposed following percutaneous coronary intervention (PCI). In this analysis, we aimed to show the adverse clinical outcomes associated with ticagrelor monotherapy after a short course of dual antiplatelet therapy (DAPT) with ticagrelor and aspirin following PCI in patients with versus without diabetes mellitus (DM). METHODS: Electronic databases were searched by four authors from September to November 2023. Cardiovascular outcomes and bleeding events were the endpoints of this analysis. Revman 5.4 software was used to conduct this meta-analysis. Risk ratio (RR) and 95% confidence intervals (CI) were used to represent the results which were generated. RESULTS: Three studies with a total number of 22,574 participants enrolled from years 2013 to 2019 were included in this analysis. Results of this analysis showed that DM was associated with significantly higher risks of major adverse cardiovascular events (RR: 1.73, 95% CI: 1.49 - 2.00; P = 0.00001), all-cause mortality (RR: 2.15, 95% CI: 1.73 - 2.66; P = 0.00001), cardiac death (RR: 2.82, 95% CI: 1.42 - 5.60; P = 0.003), stroke (RR: 1.78, 95% CI: 1.16 - 2.74; P = 0.009), myocardial infarction (RR: 1.63, 95% CI: 1.17 - 2.26; P = 0.004) and stent thrombosis (RR: 1.74, 95% CI: 1.03 - 2.94; P = 0.04) when compared to patients without DM. However, thrombolysis in myocardial infarction (TIMI) defined minor and major bleedings, bleeding defined according to the academic research consortium (BARC) type 3c (RR: 1.31, 95% CI: 0.14 - 11.90; P = 0.81) and BARC type 2, 3 or 5 (RR: 1.17, 95% CI: 0.85 - 1.62; P = 0.34) were not significantly different. CONCLUSION: In patients who were treated with ticagrelor monotherapy after a short course of DAPT with ticagrelor and aspirin, DM was an independent risk factor for the significantly increased adverse cardiovascular outcomes. However, TIMI and BARC defined bleeding events were not significantly different in patients with versus without DM.


Assuntos
Diabetes Mellitus , Infarto do Miocárdio , Intervenção Coronária Percutânea , Humanos , Ticagrelor , Aspirina/efeitos adversos , Inibidores da Agregação Plaquetária/uso terapêutico , Intervenção Coronária Percutânea/efeitos adversos , Intervenção Coronária Percutânea/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto , Hemorragia/induzido quimicamente , Diabetes Mellitus/tratamento farmacológico , Resultado do Tratamento
3.
Pharm Res ; 38(11): 1847-1862, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34773182

RESUMO

PURPOSE: Sulcardine sulfate (Sul) is a novel antiarrhythmic agent with promising pharmacological properties, which is currently being evaluated in several clinical trials as an oral formulation. To meet the medication needs of patients with acute conditions, the injection formulation of Sul has been developed. The objective of this study was to systemically investigate the pharmacokinetic profiles of Sul after intravenous infusion. METHODS: This research included the plasma protein binding and metabolic stability studies in vitro, plasma pharmacokinetics, biodistribution, excretion studies in animals, and the prediction of the clinical PK of Sul injection using a physiologically based pharmacokinetics (PBPK) model. RESULTS: The metabolic stability was similarly in dogs and humans but lower in rats. The plasma protein binding rates showed a concentration-dependent manner and species differences. The pharmacokinetic behavior after intravenous administration was linear in rats within the dose range of 30-90 mg/kg, but nonlinear in dogs within 30-60 mg/kg. Sul could be rapidly and widely distributed in multiple tissues after intravenous administration. About 12% of the parent compound were excreted via the urine and only a small fraction via bile and feces,and eight metabolites were found and identified in the rat excretion. The PBPK models were developed and simulated the observed PK date well in both rats and dogs. The PBPK model refined with human data predicted the PK characteristics of the first intravenous infusion of Sul in human. CONCLUSIONS: Our study systematically explored the pharmacokinetic characteristics of Sul and successfully developed the PBPK model to predict of its clinical PK.


Assuntos
Antiarrítmicos/farmacocinética , Modelos Biológicos , Ésteres do Ácido Sulfúrico/farmacocinética , Animais , Antiarrítmicos/administração & dosagem , Cães , Avaliação Pré-Clínica de Medicamentos , Feminino , Eliminação Hepatobiliar , Humanos , Infusões Intravenosas , Injeções Intravenosas , Eliminação Intestinal , Masculino , Microssomos Hepáticos , Ratos , Eliminação Renal , Ésteres do Ácido Sulfúrico/administração & dosagem , Distribuição Tecidual
4.
Zhongguo Zhong Yao Za Zhi ; 46(21): 5627-5640, 2021 Nov.
Artigo em Zh | MEDLINE | ID: mdl-34951216

RESUMO

This study investigated the differential mechanisms of Rehmanniae Radix and Rehmanniae Radix Praeparata in improving diabetes in mice through AMPK-mediated NF-κB/NLRP3 signaling pathway. The diabetic mouse model was established with high-fat diet coupled with streptozotocin(STZ, intraperitoneal injection, 100 mg·kg~(-1), once a day for three consecutive days), after which the mice were randomly divided into model group, low-dose(5 g·kg~(-1)) and high-dose(15 g·kg~(-1)) Rehmanniae Radix groups, low-dose(5 g·kg~(-1)) and high-dose(15 g·kg~(-1)) Rehmanniae Radix Praeparata groups, catalpol group(250 mg·kg~(-1)), 5-hydroxymethylfurfural(5-HMF) group(250 mg·kg~(-1)), metformin group(250 mg·kg~(-1)), with the normal group also set. The organ indexes of heart,liver, spleen, lung, kidney and pancreas were calculated after four weeks of administration. The pathological changes and fibrosis of pancreas, kidney and liver in mice were observed by hematoxylin-eosin(HE) staining and Masson staining. Western blot was used to determine the expression levels of Toll-like receptor-4(TLR4), nuclear factor-κB(NF-κB), Nod-like receptor protein 3(NLRP3),interleukin-1ß(IL-1ß), adenosine monophosphate-activated protein kinase(AMPK), phosphorylated AMPK(p-AMPK) in the pancreas, kidney and liver of mice. Compared with the model group, the administration groups witnessed significant decrease in the liver,spleen, kidney, pancreas and fat indexes of diabetic mice, and there was no significant difference in heart and lung indexes. The pathological states and fibrosis of pancreatic, kidney and liver tissues were significantly improved after administration. Additionally, the expression levels of TLR4, NF-κB and NLRP3 in pancreas, kidney and liver of diabetic mice were significantly lowered. The expression levels of p-AMPK/AMPK were enhanced significantly in kidney and liver of mice in Rehmanniae Radix group while in pancreas, kidney and liver in Rehmanniae Radix Praeparata group. This suggests that Rehmanniae Radix and Rehmanniae Radix Praeparata differ in the mechanism of regulating energy metabolism of multiple organs and thereby exerting anti-inflammatory effects to alleviate symptoms of diabetic mice.


Assuntos
Diabetes Mellitus Experimental , NF-kappa B , Proteínas Quinases Ativadas por AMP/genética , Animais , Diabetes Mellitus Experimental/tratamento farmacológico , Dieta Hiperlipídica/efeitos adversos , Camundongos , NF-kappa B/genética , NF-kappa B/metabolismo , Proteína 3 que Contém Domínio de Pirina da Família NLR , Extratos Vegetais , Rehmannia , Transdução de Sinais , Estreptozocina
5.
Eur J Clin Pharmacol ; 76(8): 1125-1133, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32382947

RESUMO

PURPOSE: To investigate whether the CYP3A4/5 and ABC transporter genetic polymorphisms could affect the pharmacokinetics of lenvatinib in Chinese healthy subjects. METHODS: Thirty-two healthy Chinese volunteers were enrolled and took oral administration of 8 mg lenvatinib. Plasma concentration of lenvatinib was determined by UPLC-MS/MS, the CYP3A4*1G, CYP3A5*3, ABCB1 (3435 C>T, 1236 C>T, 2677 G>T/A), ABCG2 (421 C>A, 34 G>A), and ABCC2-24 C>T genotypes were determined by SnapShot Technique. RESULTS: In ABCB1 3435T carriers (n = 19), AUC0-120h (815.7 (701.9-923.9) ng·h/mL) and AUC0-∞ (843.3 (722.2-977.7) ng·h/mL) were significantly higher than ABCB1 3435CC homozygous subjects (n = 13, 575.3 (513.7-756.9) ng·h/mL and 590.0 (540.5-782.0) ng·h/mL, respectively); on the contrary, the clearance (CL/F) of ABCB1 3435T carriers was significantly lower (9.5 (8.2-11.1) L/h vs. 13.6 (10.4-14.8) L/h). And the Cmax in CYP3A4*1G/*1G allele carrier subjects was higher than *1 carrier (73.4 ng/mL vs. 53.5 (46.1-60.6) ng/mL), but did not reach the level of significantly statistical difference. Genetic polymorphisms of ABCC2, ABCG2, and CYP3A5 could not influence pharmacokinetic parameters of lenvatinib. CONCLUSIONS: This work presented an evidence that the ABCB1 3435 C>T polymorphism could significantly affect the exposure and clearance of lenvatinib. These findings may explain the reasons for the huge inter-individual differences in lenvatinib, and should contribute to clinical individualized treatment.


Assuntos
Transportadores de Cassetes de Ligação de ATP/genética , Antineoplásicos/farmacocinética , Citocromo P-450 CYP3A/genética , Compostos de Fenilureia/farmacocinética , Quinolinas/farmacocinética , Adulto , Antineoplásicos/sangue , Povo Asiático/genética , Dieta Hiperlipídica , Jejum/metabolismo , Feminino , Genótipo , Voluntários Saudáveis , Humanos , Masculino , Proteína 2 Associada à Farmacorresistência Múltipla , Compostos de Fenilureia/sangue , Polimorfismo de Nucleotídeo Único , Quinolinas/sangue , Adulto Jovem
6.
J Sep Sci ; 43(12): 2290-2300, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32187438

RESUMO

Oroxylin A, obtained from the root of Scutellaria baicalensis Georgi, is a flavonoid with antitumor and other pharmacological activities. Our previous studies showed for the first time that it is mainly metabolized to oroxylin A sodium sulfonate by sulfotransferase enzymes in beagle dogs. In this study, rapid, universal, selective, and robust ultra-high-performance liquid chromatography-tandem mass spectrometry methods were established and fully validated to quantitatively detect oroxylin A, oroxylin A 7-O-glucuronide, and oroxylin A sodium sulfonate in beagle dog plasma. The quantitative analysis for oroxylin A sodium sulfonate was reported for the first time. Plasma samples were processed with acetonitrile, a universal protein precipitant. Gradient elution was performed to resolve carryover effects and to achieve separation efficiency and sufficient chromatographic retention. The linear relationships of oroxylin A, oroxylin A 7-O-glucuronide, and oroxylin A sodium sulfonate in plasma were in the range of 2.0-500.0, 5.0-500.0, and 1.881-940.5 ng/mL, respectively. The assay method was successfully applied to pharmacokinetic study. This is the first paper that reveals the pharmacokinetic profile of oroxylin A, oroxylin A 7-O-glucuronide, and oroxylin A sodium sulfonate after single-dose intravenous and oral administration of Oroxylin A in beagle dogs.


Assuntos
Flavonas/análise , Flavonas/farmacocinética , Flavonoides/análise , Flavonoides/farmacocinética , Glucuronídeos/análise , Glucuronídeos/farmacocinética , Ácidos Sulfônicos/análise , Ácidos Sulfônicos/farmacocinética , Administração Oral , Animais , Cromatografia Líquida de Alta Pressão , Cães , Feminino , Flavonoides/administração & dosagem , Injeções Intravenosas , Masculino , Estrutura Molecular , Espectrometria de Massas em Tandem , Distribuição Tecidual
7.
BMC Urol ; 19(1): 106, 2019 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-31684918

RESUMO

BACKGROUND: Bilateral adrenal hemorrhage (BAH) is a rare but potentially catastrophic condition. Its clinical manifestation is often non-specific and sometimes difficult to be diagnosed in time. A 57-year-old woman, who presented with severe fatigue, nausea and vomiting after left hip arthroplasty due to her femoral neck fracture in a local hospital, was transferred to our medical center. Laboratory results revealed significant hyponatremia, low serum cortisol and elevated serum ACTH. Computed tomography (CT) showed a bilateral adrenal mass, measured 3.6 × 2.7 cm on the left and 3.4 × 2.3 cm on the right. Further magnetic resonance imaging (MRI) confirmed the diagnosis of BAH. The patient was prescribed with oral prednisolone acetate, 5 mg, tid, and her condition improved gradually. Nine months after, the patient was in good condition with 5 mg prednisolone acetate per day. CT revealed a clearly shrunken adrenal mass compared with 9 months ago. CONCLUSIONS: This case illustrates the difficulty in making the diagnosis of BAH with atypical presentation. Such cases necessitate greater alertness on the part of the clinician and require rapid diagnosis and prompt glucocorticoid replacement for better clinical outcomes.


Assuntos
Doenças das Glândulas Suprarrenais/diagnóstico , Artroplastia de Quadril , Hemorragia/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Doenças das Glândulas Suprarrenais/patologia , Erros de Diagnóstico , Feminino , Hemorragia/patologia , Humanos , Pessoa de Meia-Idade
8.
BMC Nephrol ; 20(1): 278, 2019 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337353

RESUMO

BACKGROUND: Chronic kidney disease (CKD) and end stage renal disease (ESRD) are not well characterized in prostate cancer patients. This study aimed to examine the clinical characteristics and postsurgical outcomes of patients with or without CKD and ESRD undergoing radical prostatectomy for prostate cancer. METHODS: This population-based, retrospective study used patient data from the Nationwide Inpatient Sample, the largest all-payer US inpatient care database. From 2005 to 2014, 136,790 male patients aged > 20 years diagnosed with prostate cancer and who received radical prostatectomy were included. Postoperative complications, postoperative acute kidney injury (AKI) and urinary complications, and length of hospital stay were compared between patients with or without underlying CKD and ESRD. RESULTS: After adjusting for relevant factors, the CKD group had a significantly higher risk of postoperative complications than the non-CKD group. In addition, the CKD group had a 5-times greater risk of postoperative AKI and urinary complications than the non-CKD group. Both CKD and ESRD groups had significantly longer hospital stays than the non-CKD group. Patients receiving RARP had a lower risk of postoperative complications than those who received open radical prostatectomy, regardless of having CKD or not. Both non-CKD and CKD patients receiving RARP had shorter hospital stays than those who received open surgery. CONCLUSIONS: Prostate cancer patients with underlying CKD had significantly greater risk of postoperative complications, postoperative AKI and urinary complications, and longer hospital stays than those without CKD. The use of RARP significantly shortened hospital stays and reduced complications for these patients.


Assuntos
Prostatectomia , Neoplasias da Próstata/complicações , Neoplasias da Próstata/cirurgia , Insuficiência Renal Crônica/complicações , Adulto , Bases de Dados Factuais , Humanos , Falência Renal Crônica/complicações , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Prostatectomia/métodos , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Estados Unidos
9.
Biopharm Drug Dispos ; 40(3-4): 151-161, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30931529

RESUMO

GL-V9, a derivative of wogonin, has potent anti-cancer activity. The absorption and metabolism of this compound have not been investigated systematically. This study aims to illustrate the pharmacokinetic characters of GL-V9 by exploring its metabolic status under different administration routes. To further clarify the absorption mechanism of GL-V9, an in situ single-pass perfusion model and a Caco-2 cell monolayer model were used. Meanwhile, a microsomal incubation system was used to evaluate the enzyme kinetic parameters. In vivo, the obtained gastrointestinal availability (Fa × Fg ) was 21.28 ± 5.38%. The unmetabolized fraction in the gut wall (Fgut wall ) was 98.59 ± 9.74%, while the hepatic bioavailability (Fh ) was 29.11 ± 5.22%. These results indicated that poor absorption and extensive metabolism may contribute greatly to the low bioavailability of GL-V9. The effective permeability (Peff ) in the duodenum and jejunum was 1.34 ± 0.50 × 10-4 and 0.90 ± 0.27 × 10-4  cm/s, respectively. The high permeability of GL-V9 indicated that other unknown factors (such as metabolism) may account for its systemic exposure problem. Studies in rat liver microsomal (RLMs) confirmed this hypothesis, and the Clint, CYP450s and UGT of GL-V9 was 0.20 ml/min/mg protein. In conclusion, these results suggest that GL-V9 possesses higher permeability than wogonin and the metabolism of GL-V9 is related to its disposition in rat intestine and liver.


Assuntos
Antineoplásicos/farmacocinética , Flavonoides/farmacocinética , Animais , Antineoplásicos/sangue , Antineoplásicos/química , Disponibilidade Biológica , Células CACO-2 , Flavonoides/sangue , Flavonoides/química , Suco Gástrico/química , Humanos , Absorção Intestinal , Mucosa Intestinal/metabolismo , Secreções Intestinais/química , Fígado/metabolismo , Masculino , Microssomos/metabolismo , Ratos Sprague-Dawley
10.
Int J Health Plann Manage ; 34(3): 986-997, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31368129

RESUMO

With the high prevalence of diabetes, its long-term treatment, and many complications, there is a need for a new diabetes self-management model in developing countries. Therefore, this study aimed to assess the implementation and effect of a new diabetes self-management model, known as the healthcare cloud information platform, in Shanghai, China. The implementation of the new model was evaluated in terms of the equipment coverage in community health service centres and the services provided. The effect was assessed according to the treatment rate and control rate from 2012 to 2017. Their correlations with the self-management rate were analysed using Spearman's test. It was found that the Shanghai healthcare cloud information platform had covered a total of 237 community health service centres in all of the 16 administrative districts, equipping them with 2489 health stations, by 2017. An average of 8966 people uploaded data to the healthcare cloud information platform every day, with the accumulated service up to 12 043 508 person-times and an average daily increase of 13 227.9. The treatment rate of diabetes patients in Shanghai increased from 42.9% in 2012 to 78.0% in 2017, and the control rate increased to 72% in 2017, compared with 63% in 2012. Furthermore, there was a significant correlation between the treatment rate, control rate, and self-management rate. The findings indicate that it is feasible to implement the new healthcare cloud information platform for diabetes self-management and that it is effective.


Assuntos
Computação em Nuvem , Diabetes Mellitus/terapia , Autocuidado/métodos , Adulto , China/epidemiologia , Serviços de Saúde Comunitária/métodos , Diabetes Mellitus/epidemiologia , Humanos , Avaliação de Programas e Projetos de Saúde
11.
Molecules ; 24(8)2019 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-31013570

RESUMO

GL-V9 is a prominent derivative of wogonin with a wide therapeutic spectrum and potent anti-tumor activity. The metabolism characteristics of GL-V9 remain unclear. This study aimed to clarify the metabolic pathway of GL-V9 and investigate the generation of its glucuronidation metabolites in vitro and in vivo. HPLC-UV-TripleTOF was used to identify metabolites. The main metabolite that we found was chemically synthesized and the synthetic metabolite was utilized as standard substance for the subsequent metabolism studies of GL-V9, including enzyme kinetics in liver microsomes of five different species and reaction phenotyping metabolism using 12 recombinant human UDP-glucuronosyltransferase (UGT) isoforms. Results indicated that the glucuronidation reaction occurred at C5-OH group, and 5-O-glucuronide GL-V9 is the only glucuronide metabolite and major phase II metabolite of GL-V9. Among 12 recombinant human UGTs, rUGT1A9 showed the strongest catalytic capacity for the glucuronidation reaction of GL-V9. rUGT1A7 and rUGT1A8 were also involved in the glucuronidation metabolism. Km of rUGT1A7-1A9 was 3.25 ± 0.29, 13.92 ± 1.05, and 4.72 ± 0.28 µM, respectively. In conclusion, 5-O-glucuronide GL-V9 is the dominant phase II metabolite of GL-V9 in vivo and in vitro, whose formation rate and efficiency are closely related to isoform-specific metabolism profiles and the distribution of UGTs in different tissues of different species.


Assuntos
Flavanonas , Glucuronídeos/química , Glucuronosiltransferase/química , Microssomos Hepáticos/enzimologia , Animais , Flavanonas/química , Flavanonas/farmacocinética , Glucuronídeos/farmacocinética , Glucuronosiltransferase/metabolismo , Humanos , Isoenzimas/química , Isoenzimas/metabolismo , Masculino , Ratos , Ratos Sprague-Dawley , Especificidade da Espécie
13.
Arch Virol ; 162(12): 3611-3618, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28803371

RESUMO

Porcine epidemic diarrhea virus (PEDV) is a causative agent of porcine intestinal disease, which causes vomiting, diarrhea, and dehydration in piglets. PEDV is associated with the most severe pathogenesis in one-week-old piglets, with mortality rates reaching 100%. A PEDV strain was isolated from the intestinal tract of diarrheic piglets from a pig farm in Jiangsu Province in March 2016, termed the JS201603 isolate. The isolated virus was confirmed to be PEDV via RT-PCR, electron microscopy, a cytopathic effect assay and sequence analysis. The S and ORF3 genes of the JS201603 isolate were sequenced, revealing that the S gene was associated with a 15-base insertion at 167 nt, 176 - 186 nt, and 427 - 429 nt, as well as a six-base deletion in 487 - 492 nt, indicating that it was a current epidemic variant compared with the classical strain, CV777. No deletion occurred between 245 - 293 nt of the ORF3 gene in the JS201603 isolate compared with the vaccine isolates YY2013 and SQ2014. An experimental infection model indicated that the piglets in the challenge group successively developed diarrhea, exhibiting yellow-colored loose stools with a foul odor. The piglets in the JS201603 isolate challenge group displayed reduced food consumption, lost weight, and in severe cases even died. No abnormalities were observed in the control group. The JS201603 variant isolated in this study contributes to the evolutionary analysis of diarrhea virus. The experimental infection model has established a foundation for further studies on vaccine development.


Assuntos
Infecções por Coronavirus/veterinária , Diarreia/veterinária , Genótipo , Vírus da Diarreia Epidêmica Suína/classificação , Vírus da Diarreia Epidêmica Suína/isolamento & purificação , Doenças dos Suínos/patologia , Doenças dos Suínos/virologia , Animais , China , Infecções por Coronavirus/patologia , Infecções por Coronavirus/virologia , Efeito Citopatogênico Viral , Diarreia/patologia , Diarreia/virologia , Microscopia Eletrônica de Transmissão , Mutação , Vírus da Diarreia Epidêmica Suína/genética , Vírus da Diarreia Epidêmica Suína/patogenicidade , RNA Viral/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Análise de Sequência de DNA , Suínos , Proteínas Virais/genética , Vírion/ultraestrutura , Virulência
14.
J Opt Soc Am A Opt Image Sci Vis ; 34(4): 533-544, 2017 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-28375323

RESUMO

Despite much success in the application of sparse representation to object tracking, most of the existing sparse-representation-based tracking methods are still not robust enough for challenges such as pose variations, illumination changes, occlusions, and background distractions. In this paper, we propose a robust object-tracking algorithm via local discriminative sparse representation. The key idea in our method is to develop what we believe is a novel local discriminative sparse representation method for object appearance modeling, which can be helpful to overcome issues such as appearance variations and occlusions. Then a robust tracker based on the local discriminative sparse appearance model is proposed to track the object over time. Additionally, an online dictionary update strategy is introduced in our approach for further robustness. Experimental results on challenging sequences demonstrate the effectiveness and robustness of our proposed method.

15.
Zhonghua Nan Ke Xue ; 23(9): 793-797, 2017 Sep.
Artigo em Zh | MEDLINE | ID: mdl-29726659

RESUMO

OBJECTIVE: To study the dosage regimen of oral M-receptor blocker following transurethral resection of the prostate (TURP) for severe benign prostate hyperplasia (BPH) with predominant urine storage period symptoms (USPSs) and its clinical effect. METHODS: Severe BPH patients with predominant USPSs received oral tolterodine (2 mg q12d or 4 mg qd) 6 hours after TURP for 4 weeks. The medication continued for another 2 weeks in case of recurrence of USPSs or until the 12th week in case of repeated recurrence. Before and at 1, 4, 8 and 12 weeks after TURP, we analyzed the International Prostate Symptoms Score (IPSS), quality of life (QoL) score, maximum urinary flow rate (Qmax), and postvoid residual volume (PVR) of the patients. RESULTS: Complete clinical data were collected from 106 cases, of which 33 achieved successful drug withdrawal with no aggravation of USPSs at 4 weeks after TURP, 51 at 6-8 weeks, 13 at 10-12 weeks, and 9 needed medication after 12 weeks. Before and at 1, 4, 8 and 12 weeks after TURP, the total IPSSs were 25.33 ± 3.45, 19.33 ± 3.62, 11.56 ± 2.45, 8.38 ± 2.0 and 7.74 ± 1.87, those in the urine storage period were 11.97 ± 1.53, 10.76 ± 1.82, 6.16 ± 1.22, 4.08 ± 1.19 and 3.91 ± 1.15, those at urine voiding were 9.80 ± 1.60, 5.59 ± 1.45, 3.40 ± 0.92, 2.85 ± 0.71, and 2.61 ± 0.67, and the QoL scores were 4.70 ± 0.78, 3.92 ± 0.75, 2.55 ± 0.74, 1.83 ± 0.72 and 1.66 ± 0.75, respectively, with statistically significant differences between the baseline and the scores at 1 and 4 weeks (P <0.01) but not at 8 or 12 weeks (P >0.05). Qmax and PVR were improved progressively and significantly at 1 and 4 weeks (P <0.01) but not at 8 or 12 weeks (P >0.05). CONCLUSIONS: Four to eight weeks of oral administration of M-receptor blocker may be an effective dosage regimen for severe BPH with predominant USPSs after TURP.


Assuntos
Antagonistas Muscarínicos/administração & dosagem , Hiperplasia Prostática/tratamento farmacológico , Tartarato de Tolterodina/administração & dosagem , Ressecção Transuretral da Próstata , Agentes Urológicos/administração & dosagem , Administração Oral , Protocolos Clínicos , Esquema de Medicação , Humanos , Masculino , Cuidados Pós-Operatórios , Hiperplasia Prostática/cirurgia , Qualidade de Vida , Recidiva , Resultado do Tratamento , Micção
16.
World J Urol ; 34(4): 533-7, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25841361

RESUMO

OBJECTIVES: To investigate the impact of three-dimensional (3D) printing on the surgical planning, potential of training and patients' comprehension of minimally invasive surgery for renal tumors. METHODS: Patients of a T1N0M0 single renal tumor and indicated for laparoscopic partial nephrectomy were selected. CT data were sent for post-processing and output to the 3D printer to create kidney models with tumor. By presenting to experienced laparoscopic urologists and patients, respectively, the models' realism, effectiveness for surgical planning and training, and patients' comprehension of disease and procedure were evaluated with plotted questionnaires (10-point rating scales, 1-not at all useful/not at all realistic/poor, 10-very useful/very realistic/excellent). The size of resected tumors was compared with that on the models. RESULTS: Ten kidney models of such patients were fabricated successfully. The overall effectiveness in surgical planning and training (7.8 ± 0.7-8.0 ± 1.1), and realism (6.0 ± 0.6-7.8 ± 1.0) were reached by four invited urologists. Intraoperative correlation was advocated by the two performing urologists. Patients were fascinated with the demonstration of a tactile "diseased organ" (average ≥ 9.0). The size deviation was 3.4 ± 1.3 mm. CONCLUSIONS: Generating kidney models of T1N0M0 tumors with 3D printing are feasible with refinements to be performed. Face and content validity was obtained when those models were presented to experienced urologists for making practical planning and training. Understandings of the disease and procedure from patients were well appreciated with this novel technology.


Assuntos
Imageamento Tridimensional/métodos , Neoplasias Renais/diagnóstico , Rim/diagnóstico por imagem , Estadiamento de Neoplasias/métodos , Nefrectomia/métodos , Impressão Tridimensional , Feminino , Humanos , Rim/cirurgia , Neoplasias Renais/cirurgia , Laparoscopia/métodos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
17.
Appl Opt ; 55(31): 8893-8904, 2016 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-27828291

RESUMO

This paper proposes a set of uncommonly rich feature representations for automatic target recognition (ATR) in synthetic aperture radar (SAR) images. The proposed novel feature representations capture both the spatial and spectral properties of a target in a unified framework, while simultaneously offering discrimination and robustness to aspect variations. Specifically, the proposed features are mainly derived from the ideas of the monogenic signal and polar mapping. The applicability of the monogenic signal within the field of SAR target recognition is demonstrated by its capability of capturing both the broad spectral information and spatial localization with compact support. Further, to reduce the influence of inevitable variations due to aspect changes in SAR images, the monogenic components are transformed from Cartesian to polar coordinates through polar mapping. Additionally, a new target-shadow feature is also presented to compensate for the important discriminative information about target geometry, which exists in the shadow area. Finally, the proposed features are jointly considered into a unified multiple kernel learning framework for target recognition. Experiments on the moving and stationary target acquisition and recognition (MSTAR) public dataset demonstrate the strength and applicability of the proposed representations to SAR ATR. Moreover, it is also shown that overall high recognition accuracy can be obtained by the established unified framework.

18.
Appl Opt ; 55(6): 1381-94, 2016 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-26906591

RESUMO

The automatic recognition of multi-class objects with various backgrounds is a big challenge in the field of remote sensing (RS) image analysis. In this paper, we propose a novel recognition framework for multi-class RS objects based on the discriminative sparse representation. In this framework, the recognition problem is implemented in two stages. In the first, or discriminative dictionary learning stage, considering the characterization of remote sensing objects, the scale-invariant feature transform descriptor is first combined with an improved bag-of-words model for multi-class objects feature extraction and representation. Then, information about each class of training samples is fused into the dictionary learning process; by using the K-singular value decomposition algorithm, a discriminative dictionary can be learned for sparse coding. In the second, or recognition, stage, to improve the computational efficiency, the phase spectrum of a quaternion Fourier transform model is applied to the test image to predict a small set of object candidate locations. Then, a multi-scale sliding window mechanism is utilized to scan the image over those candidate locations to obtain the object candidates (or objects of interest). Subsequently, the sparse coding coefficients of these candidates under the discriminative dictionary are mapped to the discriminative vectors that have a good ability to distinguish different classes of objects. Finally, multi-class object recognition can be accomplished by analyzing these vectors. The experimental results show that the proposed work outperforms a number of state-of-the-art methods for multi-class remote sensing object recognition.

19.
Mycologia ; 108(4): 765-72, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27153882

RESUMO

Recent molecular systematic studies of Cantharellus cibarius sensu lato have revealed previously unknown species in different regions of North America. This study investigates yellow chanterelles in the Midwest using phylogenetic analysis of three DNA regions: nuc rDNA internal transcribed spacer 2 (ITS2) and 28S sequences and translation elongation factor 1α gene (EF1α). This analysis reveals a locally common taxon Cantharellus chicagoensis sp. nov. as distinct from sympatric species present in northeastern Illinois, northwestern Indiana and Wisconsin. This chanterelle features a pileus that often has a greenish yellow margin when immature, a squamulose disk when mature, a yellow spore print and the absence of a fragrant odor. Multiple Cantharellus specimens group with C. flavus and C. phasmatis, expanding their known range, and others with C. roseocanus Our observations highlight the diversity of Cantharellus in midwestern USA and further document the need for additional systematic focus on the region's fungi.


Assuntos
Basidiomycota/classificação , Filogenia , Basidiomycota/genética , Análise por Conglomerados , DNA Fúngico/química , DNA Fúngico/genética , DNA Ribossômico/química , DNA Ribossômico/genética , DNA Espaçador Ribossômico/química , DNA Espaçador Ribossômico/genética , Meio-Oeste dos Estados Unidos , Dados de Sequência Molecular , Fator 1 de Elongação de Peptídeos , RNA Ribossômico 28S/genética , Análise de Sequência de DNA
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA